Hyperechogenic renal parenchyma in potential live related kidney donors: Does it justify exclusion?

  • AM Fouda Urology & Nephrology Center, Mansoura
  • MA Sobh Urology & Nephrology Center, Mansoura
  • F Moustafa Urology & Nephrology Center, Mansoura
  • S Sally Urology & Nephrology Center, Mansoura
  • MA Bakr Urology & Nephrology Center, Mansoura
  • A Refaei Urology & Nephrology Center, Mansoura
  • MM EI-Mekresh Urology & Nephrology Center, Mansoura
  • ME Azab Urology & Nephrology Center, Mansoura
  • MA Ghoneim Urology & Nephrology Center, Mansoura

Abstract

The aim of this work is to asses theimportance of ultrasonic grade I echogenicity inpotential kidney donors in the absence of urinaryabnormality and with perfect renal function.Thirty four living related kidney donors with thisabnormality were included, age range between 23-48years. Ten matched healthy donors were studied ascontrols.

All cases were thoroughly investigated includingmeasuring GFR by isotopic scan and estimation ofrenal reserve by dopamine and aminoacid infusion.Renal biopsy was done for 17 cases of theechogenicity group and 8 controls. Our resultsshowed that the renal reserve was comparable in bothgroups. Glomerular changes were found in 41% ofapparently normal donors and only one case ofcontrols.

Conclusion: Grade I echogenicity may be sign ofunrecognised kidney disease. Renal biopsy ismandatory when such related donors are the onlyavailable.

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Published
2016-08-07
How to Cite
Fouda, AM, MA Sobh, F Moustafa, S Sally, MA Bakr, A Refaei, MM EI-Mekresh, ME Azab, and MA Ghoneim. 2016. “Hyperechogenic Renal Parenchyma in Potential Live Related Kidney Donors: Does It Justify Exclusion?”. African Journal of Nephrology 2 (1), 21-23. https://doi.org/10.21804/2-1-857.
Section
Original articles