“bright myocardium” (not all that glitters is gold)
Case Presentation:
A 37 year old man, who received a renal transplant aged 35, is admitted to a nephrology ward for worsening renal failure associated with heart failure.
The patient had a history of recurrent, bilateral, renal colics with calculi expulsion from a young age. Aged 33 the patient started hemodialytic treatment for end-stage renal failure (aetiology was not fully investigated). One month after starting dialysis he underwent bilateral nephrectomy for an acute post-dialytic hematoma of the left kidney.
After two years of three-weekly dialysis regime, the patient underwent a renal transplant from a living donor (wife).
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