POCUS in the kidney transplant patient for an early diagnosis of hydronephrosis: Case report and literature review
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Keywords

Kidney transplantation
Ultrasonography
Hydronephrosis
Case reports

How to Cite

1.
Anaya-Taboada M, Palacio-Echeverri L, Sanabria-Giraldo V, Lozano-Suárez N, Gómez-Montero A, García López A, Girón-Luque F. POCUS in the kidney transplant patient for an early diagnosis of hydronephrosis: Case report and literature review. Rev. Colomb. Nefrol. [Internet]. 2024 May 31 [cited 2024 Jul. 25];11(1). Available from: https://revistanefrologia.org/index.php/rcn/article/view/767

Abstract

Introduction: Point-of-care ultrasound (POCUS) is a quick and easy-to-use tool that allows correlating anamnesis with ultrasound findings. It has gained strength in different fields of medical practice. In nephrology, it has been used for patients with chronic kidney disease, showing anatomical and vascular alterations; even so, there is little literature on its use in renal transplant patients.

Purpose: To expose how POCUS was used in a series of patients of Colombiana de Transplantes and the impact on their clinical outcomes, correlating findings with a review of the current literature.

Presentation of the case: We report 3 cases of renal transplant patients under follow-up by nephrology, in whom POCUS was used for their post-transplant evaluation showing hydronephrosis. Given this finding, radiological confirmation by radiology with ultrasound or pyelography was requested, and timely urinary tract diversion treatment was indicated. The patients presented an adequate clinical and renal function evolution in the follow-up after management.

Discussion and conclusion: The cases presented support the benefit of POCUS in the follow-up of transplant patients, allowing timely identification and management of hydronephrosis. It is considered that this study may be the first step in using this tool in this population's follow-up routine. However, even so, emphasis is placed on the need for studies with a larger sample size that include different ultrasound findings.

https://doi.org/10.22265/acnef.11.1.767
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References

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