49-year-old male patient status post DDRT now with increased JP output and dropping hemoglobin. RENAL TRANSPLANT: LOCATION: Left iliac fossa.PERITRANSPLANT TISSUES: There is a 10.1 x 15.0 cm heterogeneous collection superior and lateral to the transplant kidney suggestive of a hematoma.KIDNEY: The transplant kidney measures 10.6 cm in length.COLLECTING SYSTEM/URETER: No evidence of hydronephrosis.URINARY BLADDER: The bladder is decompressed with a Foley catheter.VASCULAR DOPPLER DATA: Color and spectral Doppler were performed on inflow and outflow vesselsTransplant renal artery anastomosis: 54 cm/s with RI of 0.77Transplant renal artery proximal: 51 cm/s with RI of 0.79Transplant renal artery mid: 56 cm/s with RI of 0.80Transplant renal artery distal: 46 cm/s with RI of 0.74Transplant renal artery hilum: 37 cm/s with RI of 0.72Segmental arteries RI range: 0.61 to 0.70Arcuate arteries RI range: 0.55 to 0.67OTHER: No significant abnormality noted
Heterogeneous collection superolateral to the transplant kidney which is suggestive of a perinephric hematoma; correlation with non-contrast CT is recommended. 