99mTc-MAG3 Renal Scan in Early Surgical Complications
of Renal Transplantation

Keimyung Medical Journal 2005;24(1):76-86.

99mTc-MAG3 Renal Scan in Early Surgical Complications of Renal Transplantation

신장이식후 조기 수술적 합병증의 99mTC-MAG3 신스캔

김인수; 전석길; 원경숙; 김순

Abstract

The purpose of this study is to evaluate the usefulness of 99mTc-Mag3 renal scan in the diagnosis of early surgical complication of renal transplantation; compared with ultrasonography. Two hundred three cases of renal transplantations; from January 2000 to December 2004; were studied retrospectively. 99mTc-MAG3 renal scan and ultrasonography were routinely performed for evaluation of allograft kidney at postoperative day 3; 7; 14; and 21 or 28. There were 13 early surgical complications (6.4%) from 203 recipients during the first one month after transplantation. And six cases of urological complications; six cases of hematoma; and one case of lymphocele were noticed. 99mTc-MAG3 renal scan showed abnormality in 10 cases (76.9%) of 13 early surgical complications. 99mTc-MAG3 renal scan detected all six urologic complication (100%); four of six hematomas (66.7%); but did not one lymphocele. Ultrasonography showed abnormal findings in eight cases of 13 early surgical complications (61.5%): one of four urine leakages (25%); all two urinomas (100%); four of six hematomas (66.7%); and one lymphocele (100%). 99mTc-MAG3 renal scan is more sensitive than ultrasonography for the detection of early surgical complications following renal transplantation.

Key Words: Renal transplantation, Surgical comlication, 99mTc-MAG3 renal scan