Massive Leiomyomatous Uterine Proliferation Following Kidney Transplantation: A Case Report and Literature Review
Joint Authors
Tan, Miguel
Gibbs, Melissa J.
Kazimi, Marwan M.
Hundley, Jonathan C.
Pollinger, Harrison S.
Minja, Emmanuel J.
Source
Case Reports in Transplantation
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-11-28
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Uterine fibroids are the most common benign uterine tumors affecting > 50% of premenopausal women.
The incidence, burden and symptoms from uterine fibroids are higher in women of African descent compared to Caucasians.
Despite increasing number of African American females being evaluated for and undergoing kidney transplantation (KT), perioperative management guidelines for uterine fibroids currently do not exist.
We present a case of a 40 y/o African American female with known symptomatic uterine fibroids preoperatively and medically managed, who underwent a successful KT and 4 years later progressively developed massive leiomyomatous uterine proliferation, causing a complete lateral displacement of the transplanted kidney with severe hydronephrosis, transplant ureteral obstruction and secondary urinary tract infections with bacteremia.
This obstruction required a percutaneous nephrostomy tube placement followed by an interval transabdominal hysterectomy, which was complicated by transplant ureteral transection requiring ureteral reimplantation, resulting in prolonged hospitalization, follow-up and outpatient antibiotic regimen.
There is a need for management guidelines for uterine fibroids incidentally encountered during the KT evaluation process to avoid similar preventable post-KT complications in patient populations most commonly affected.
Literature review and perioperative management/surveillance strategies are provided.
American Psychological Association (APA)
Minja, Emmanuel J.& Tan, Miguel& Gibbs, Melissa J.& Kazimi, Marwan M.& Hundley, Jonathan C.& Pollinger, Harrison S.. 2018. Massive Leiomyomatous Uterine Proliferation Following Kidney Transplantation: A Case Report and Literature Review. Case Reports in Transplantation،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1151221
Modern Language Association (MLA)
Minja, Emmanuel J.…[et al.]. Massive Leiomyomatous Uterine Proliferation Following Kidney Transplantation: A Case Report and Literature Review. Case Reports in Transplantation No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1151221
American Medical Association (AMA)
Minja, Emmanuel J.& Tan, Miguel& Gibbs, Melissa J.& Kazimi, Marwan M.& Hundley, Jonathan C.& Pollinger, Harrison S.. Massive Leiomyomatous Uterine Proliferation Following Kidney Transplantation: A Case Report and Literature Review. Case Reports in Transplantation. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1151221
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1151221