Severe hemorrhage complicating early transplant nephrectomy due to sepsis
Joint Authors
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 27, Issue 3 (30 Jun. 2016), pp.581-584, 4 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2016-06-30
Country of Publication
Saudi Arabia
No. of Pages
4
Main Subjects
Topics
- Case studies
- Kidneys
- Pathology
- Septicaemia
- Pathogens
- Surgery
- Organ transplantation
- Excision(Surgery)
- Complications(Medicine)
- Hemorrhage
- Immune response
Abstract EN
Compared to the general population, transplant patients receiving immunosuppression have an increased risk of wound and systemic infection that might lead to hemorrhage.
We present a case of severe bleeding from the external iliac artery secondary to a pelvic abscess following renal transplantation and transplant nephrectomy.
A 73-year-old man received an extended criteria donor organ from a 49-year-old person who died from systemic sepsis.
The patient bled from the Carrel’s patch while awaiting a computed tomographic scanguided drainage of an infected peritransplant collection.
At exploration, a nonviable allograft surrounded by about 1 L of thick pus was removed.
Bleeding from a 2 mm hole in the Carrel’s patch was repaired by prolene suture as the external iliac vessels could not be mobilized due to a frozen pelvis.
The patient died 72 h later from a massive bleed confirmed at postmortem to have originated from the external iliac artery distal to the anastomosis.
Diversion of blood flow away from an affected area (with or without excision of the infected vessels) through a bypass procedure probably represents the best option in avoiding such sequelae.
American Psychological Association (APA)
Akoh, Yaqub A.& Rana, Tahawar. 2016. Severe hemorrhage complicating early transplant nephrectomy due to sepsis. Saudi Journal of Kidney Diseases and Transplantation،Vol. 27, no. 3, pp.581-584.
https://search.emarefa.net/detail/BIM-683688
Modern Language Association (MLA)
Akoh, Yaqub A.& Rana, Tahawar. Severe hemorrhage complicating early transplant nephrectomy due to sepsis. Saudi Journal of Kidney Diseases and Transplantation Vol. 27, no. 3 (May. / Jun. 2016), pp.581-584.
https://search.emarefa.net/detail/BIM-683688
American Medical Association (AMA)
Akoh, Yaqub A.& Rana, Tahawar. Severe hemorrhage complicating early transplant nephrectomy due to sepsis. Saudi Journal of Kidney Diseases and Transplantation. 2016. Vol. 27, no. 3, pp.581-584.
https://search.emarefa.net/detail/BIM-683688
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 584
Record ID
BIM-683688