case_images: PMC3350148_01
case_images: CT 3D reconstruction of the monolateral dual kidney transplantation implanted on the right iliac vessels.
case_images: CRIM.UROLOGY2012-919215.001.jpg
case_images: PMC3350148_01_CRIM.UROLOGY2012-919215.001.jpg
case_images: fig1
case_images: After revascularization of the implanted graft, the right kidney was transplanted by anastomosing the renal vessels to the external iliac vessels in end-to-side fashion (Figure 1).
case_images: CT scan showing the relationship among the transplanted kidneys (k), the lymphocele (*), the renal artery (a) and vein (v), and the dilated ureter (u).
case_images: CRIM.UROLOGY2012-919215.002.jpg
case_images: PMC3350148_01_CRIM.UROLOGY2012-919215.002.jpg
case_images: fig2
case_images: Urgent ultrasound examination (US) and subsequent CT scan showed a complex fluid collection of 11 cm diameter in the right iliac fossa engulfing both grafts, associated with a mild hydroureteronephrosis of the superior kidney (Figure 2).
case_images: The simultaneous visualization of the same region in conventional B mode and contrast-enhanced mode allowed the identification of ureters. Left side: B mode ultrasound visualization of renal artery (a) vein (v) within the lymphocele (L) and bladder (B). Right side: contrast-enhanced ultrasound visualization of the same region showing the bladder (B) and the ureter (arrows) filled by contrast agent.
case_images: CRIM.UROLOGY2012-919215.003.jpg
case_images: PMC3350148_01_CRIM.UROLOGY2012-919215.003.jpg
case_images: fig3
case_images: Renal function improved after percutaneous drainage and subsequent marsupialization of lymphocele.
case_images: CRIM.UROLOGY2012-919215.004.jpg
case_images: PMC3350148_01_CRIM.UROLOGY2012-919215.004.jpg
case_images: fig4
case_images: A steady recovery of renal function with decreasing serum creatinine and reduction of the inferior limb edema occurred in the following days (Figure 4).