Surgically correctable renal transplant complications: an integrated clinical and radiologic approach

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Abstract
During a 4 yr period, 141 patients received 171 renal allograft transplants. In 56 patients, 69 surgical complications developed: 12 lymphoceles, 11 abscesses, 12 hematomas, 9 urinomas, 4 ureteropelvic junction obstructions and 21 arterial complications. In a retrospective analysis the sensitivity of sonography, excretory urography and radionuclide imaging were compared in diagnosing pelvic and perinephric fluid collections, and sonography proved superior to the other 2 methods. Correlation of clinical symptomatology, the time presentation of each complication and the diagnostic yield of imaging techniques provided data for an algorithmic radiologic approach to renal transplant complications.