Rupture of Renal Transplant
Joint Authors
Akoh, Jacob A.
Baker, Shona
Popescu, Maria
Source
Case Reports in Transplantation
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-21
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Background.
Rupture of renal allograft is a rare and serious complication of transplantation that is usually attributed to acute rejection, acute tubular necrosis, or renal vein thrombosis.
Case Presentation.
LD, a 26-year-old male with established renal failure, underwent deceased donor transplantation using kidney from a 50-year-old donor with acute kidney injury (Cr 430 mmol/L).
LD had a stormy posttransplant recovery and required exploration immediately for significant bleeding.
On day three after transplant, he developed pain/graft swelling and another significant haemorrhage with cardiovascular compromise which did not respond to aggressive resuscitation.
At reexploration, the renal allograft was found to have a longitudinal rupture and was removed.
Histology showed features of type IIa Banff 97 acute vascular rejection, moderate arteriosclerosis, and acute tubular necrosis.
Conclusion.
Possible ways of avoiding allograft rupture include use of well-matched, good quality kidneys; reducing or managing risk factors that would predispose to delayed graft function; ensuring a technically satisfactory transplant procedure with short cold and warm ischemia times; and avoiding large donor-recipient age gradients.
American Psychological Association (APA)
Baker, Shona& Popescu, Maria& Akoh, Jacob A.. 2015. Rupture of Renal Transplant. Case Reports in Transplantation،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1060191
Modern Language Association (MLA)
Baker, Shona…[et al.]. Rupture of Renal Transplant. Case Reports in Transplantation No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1060191
American Medical Association (AMA)
Baker, Shona& Popescu, Maria& Akoh, Jacob A.. Rupture of Renal Transplant. Case Reports in Transplantation. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1060191
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1060191