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Case PresentationA 54-year-old woman presented to the emergency room with dyspnea, hoarseness, dysphagia, and anterior neck swelling of 2 weeks. Her past medical history was significant for a thyroid nodule status post fine needle aspiration showing lymphocytic thyroiditis and Hashimoto hypothyroidism, which was treated with 125 mg of

Abstract:Pseudo Aneurysm of the arterial anastomosis is a rare complication seen in less than 1% of recipients and pseudo aneurysm of ileofemoral thrombosis is even rarer. Herein, we report a case of pseudo aneurysm of the anastomotic site following renal transplantation with extensive ileofemoral thrombosis with literature review. The intension of this paper is to provide an update on the varied clinical presentation, early diagnosis and management of this rare case presentation.

Introduction: Split renal function (SRF) in prospective renal donors is traditionally measured by means of scintigraphy. Recent studies have reported the utility of three-dimensional computerized tomographic renal volumetry as an alternative to scintigraphy in estimating SRF. As computed tomography (CT) angio is done routinely for donors use of the same CT for estimating renal functions can eliminate the radiation from scintigraphy. Methods: In our study, renal volume was estimated on computerized tomographic renal angiography images using Siemens volumetry software by drawing contours manually on images, wherein we found the mean total renal volume to be 212.7 ± 38 CC and mean split renal volume to be 49.76 CC ± 2.86 and 50.23CC ± 2.86 on the right and left side, respectively. Results: This split renal volume was corrected to body mass index and surface area wherein we found significant correlation between renal volume and function when both were corrected to body surface area (P < 0.0001). Conclusion: From our results, it appears that computerized tomographic renal angiography not only depicts anatomy but also can give information about renal function which needs further confirmation.