doi: 10.1093/ndt/gfn618 Exceptional Case ‘Bench ’ MRI before transplant on harvested kidneys: a possible tool for diagnosis of acute pyelonephritis

Wepresent the first case inwhichmagnetic resonance imag-ing (MRI) has been utilized to rule out lesions compati-ble with acute pyelonephritis in kidneys from a cadaveric organ donor before transplanting them. A 40-year-old fe-male underwent diagnosis of brain death following a septic shock. The ecotomography of the kidneys showed areas compatible with micro-abscesses raising the hypothesis of acute pyelonephritis. Our radiologist proposed to perform a bench-MRI (maintaining kidneys within the sterile preser-vation bags constantly on ice); this did not show lesions except little cysts not relevant by the clinical point of view. We transplanted kidneys without infective complications and results were very good