Abstract
In 10 mongrel dogs, the sonographic features of the pelvocaliceal system and ureteral peristalsis during acute rejection were correlated with the electromyographic (EMG) findings and histologic appearance. There were significant alterations of the ureteral dynamics during rejection as demonstrated by changes in the pressure tracings, the progressive decrease of electrical activity of the ureteral muscle, and decreased peristalsis with pelvicaliectasis as demonstrated on real-time ultrasound. The sonographic changes of peripelvic and periureteral thickening corresponded to histologic changes of edema and inflammatory infiltrate with disruption of the muscular layer. In the presence of clinical and sonographic findings of kidney rejection, the demonstration of hydronephrosis and thickened pelvic wall should be considered as another measure of the rejection process.
Similar content being viewed by others
References
Morley P, Barnett E, Bell PR, Briggs JK, Calman KC, Hamilton DN, Paton AM: Ultrasound in the diagnosis of fluid collection after renal transplantation.Clin Radiol 26:199–207, 1975
Silver TM, Campbell D, Wicks JD, Lorber MI, Surace P, Turlott J: Peritransplant fluid collection.Radiology 138:145–152, 1981
Hricak H, Cruz C, Eyler WR, Madrazo BL, Romanski R, Sandler MA: Acute post-transplantation renal failure: differential diagnosis by ultrasound.Radiology 139:441–449, 1981
Hillman RJ, Birnholz JC, Busch GJ: Correlation of echographic and histologic findings in suspected renal allograft rejection.Radiology 132:673–676, 1979
Frick MP, Feinberg SB, Sibley R, Idstrom ME: Ultrasound in acute renal transplant rejection.Radiology 138:657–660, 1981
Heckemann R, Rehwald U, Jakubowski HD, Donhuijsen K: Sonographic criteria for renal allograft rejection.Urol Radiol 4:15–18, 1982
Hasegawa A, Smith MJ, Lee HM, Hume DM: Cinefluoroscopic study of ureteral function in renal transplant.J Urol 114:381–384, 1975
Shiff M Jr: Ureter in renal transplantation.Urology 12:256–260, 1978
Olsen S: Pathology of the renal allograft rejection. In Churg J, Spargo BH, Mostofi FK (eds):Kidney Disease—Present Status. Baltimore: Williams and Wilkins, 1972, pp. 327–355
Olsen PR: The urodynamics of the upper ureter after auto-transplantation in dogs.Scand J Urol Nephrol 15:59–64, 1981
Van Duyl VA, Brans JM, Coolsact BLRA, Grashuis JL, Kingma YJ: Provisional model for propagation of electrical activity in upper urinary tract.Urology 12:736–742, 1978
Briggs EM, Constantinou CE, Govan DE: Dynamics of the upper urinary tract. The relationship of urine flow rate and ureteral peristalsis.Invest Urol 10:56–62, 1972
Constantinou CE: Contractility of the pyeloureteral pacemaker system.Urol Int 33:399–415, 1978
Constantinou CE: Renal pelvic pacemaker control of ureteral peristaltic rate.Am J Physiol 226:1413–1419, 1974
Paccione F, Enein AA, Shikata T, Dempster WJ: Changes in the transplanted ureter.Br J Exp Pathol 46:519–529, 1965
Matas AJ, Simmons RL, Kjellstrand CM, Najarian JS: Pseudorejection: factors mimicing rejection in renal allograft recipients.Ann Surg 186:51–59, 1977
Belitsky P, Klauber GT, Toth J, Morehouse DD, MacKinnon KJ: Ureteral dynamics in human renal transplantation. A cineradiographic study.JAMA 220:1087–1089, 1972
McLoughlin MG: Late ureteric obstruction in renal transplantation.Br J Urol 49:93–96, 1977
Petrek J, Tilney NL, Smith EH, Williams JS, Vineyard GC: Ultrasound in renal transplantation.Ann Surg 185:441–447, 1977
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hricak, H., Mark, A.S., Alpers, C.E. et al. Sonographic evaluation of the rejecting ureter. Urol Radiol 8, 25–31 (1986). https://doi.org/10.1007/BF02924067
Issue Date:
DOI: https://doi.org/10.1007/BF02924067