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NDT Advance Access originally published online on November 11, 2008
Nephrology Dialysis Transplantation 2009 24(2):670-672; doi:10.1093/ndt/gfn618
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org


‘Bench’ MRI before transplant on harvested kidneys: a possible tool for diagnosis of acute pyelonephritis

Elisabetta Mezza1, Luigi Biancone2, Fabio Tattoli2, Maria Messina1, Laura Rizzo3, Elisabetta Tola4 and Giuseppe Paolo Segoloni2

1 Renal Transplant Unit, ASO San Giovanni della Città di Torino 2 Internal Medicine Department, University of Turin, Turin 3 Radiology Unit, ASO San Luigi Gonzaga, Orbassano 4 Radiology Unit, ASO San Giovanni della Città di Torino, Turin, Italy

Correspondence and offprint requests to: Elisabettta Mezza, MD, Renal Transplant Unit, ASO San Giovanni Battista. Corso Bramante 88, 10126 Torino (Turin) Italy. Tel: +00390116335597; Fax: +00390116963158; E-mail: emezza{at}hotmail.com



  Abstract

We present the first case in which magnetic resonance imaging (MRI) has been utilized to rule out lesions compatible with acute pyelonephritis in kidneys from a cadaveric organ donor before transplanting them. A 40-year-old female underwent diagnosis of brain death following a septic shock. The ecotomography of the kidneys showed areas compatible with micro-abscesses raising the hypothesis of acute pyelonephritis. Our radiologist proposed to perform a bench-MRI (maintaining kidneys within the sterile preservation bags constantly on ice); this did not show lesions except little cysts not relevant by the clinical point of view. We transplanted kidneys without infective complications and results were very good.

Keywords: acute pyelonephritis; kidney harvesting; magnetic resonance; cortical microcysts

Received for publication: 9. 4.08
Accepted in revised form: 10.10.08


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