scholarly journals Spontaneous Renal Allograft Rupture Caused by Acute Tubular Necrosis: A Case Report and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Deepak Shankar Ray ◽  
Sharmila Thukral
Keyword(s):  
Acute Tubular Necrosis ◽  
Renal Allograft ◽  
Patient Survival ◽  
Renal Vein Thrombosis ◽  
Renal Allograft Recipient ◽  
Tubular Injury ◽  
Vein Thrombosis ◽  
Tubular Necrosis ◽  
Life Threatening ◽  
Cellular Rejection

Renal allograft rupture (RAR) is a rare but lethal complication of renal transplantation. It potentially threatens graft and patient survival. RAR is frequently associated with acute rejection, but other causes like renal vein thrombosis and acute tubular necrosis have also been observed. Most commonly a graft nephrectomy is required, but graft repair can also be attempted in selected cases to salvage the graft. Herein, we describe a rare case of spontaneous renal allograft rupture in the early posttransplant period due to acute tubular necrosis. A 42-year-old male, living donor renal allograft recipient, experienced RAR on the sixth posttransplant day. Surgical exploration showed two lacerations of 10 cm and 5 cm length at the upper and mid pole of the kidney. Histologically, the graft demonstrated acute tubular injury; no features of humoral or cellular rejection were identified. The successful management of this complication resulted in the salvage of the patient and the graft. This case demonstrates that early diagnosis and prompt treatment of a life-threatening RAR can salvage the graft.

scholarly journals Renal allograft rupture is associated with rejection or acute tubular necrosis, but not with renal vein thrombosis

2001 ◽  
Vol 16 (1) ◽  
pp. 124-127 ◽  
Author(s):  
Boris Wolfgang Hochleitner ◽  
Reinhold Kafka ◽  
Bernard Spechtenhauser ◽  
Claudia Bösmüller ◽  
Wolfgang Steurer ◽  
...  
Keyword(s):  
Acute Tubular Necrosis ◽  
Renal Vein ◽  
Renal Allograft ◽  
Renal Vein Thrombosis ◽  
Vein Thrombosis ◽  
Tubular Necrosis

scholarly journals Rupture of Renal Transplant

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Shona Baker ◽  
Maria Popescu ◽  
Jacob A. Akoh
Keyword(s):  
Acute Tubular Necrosis ◽  
Renal Allograft ◽  
Graft Function ◽  
Kidney Injury ◽  
Deceased Donor ◽  
Renal Vein Thrombosis ◽  
Vein Thrombosis ◽  
Tubular Necrosis ◽  
Managing Risk ◽  
Old Donor

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.

Chronic renal vein thrombosis in a renal allograft. Case Report

Nephrology ◽  
2003 ◽  
Vol 8 (5) ◽  
pp. 248-250 ◽  
Author(s):  
WAI H LIM ◽  
GREG VAN SCHIE ◽  
KEVIN WARR
Keyword(s):  
Case Report ◽  
Renal Vein ◽  
Renal Allograft ◽  
Renal Vein Thrombosis ◽  
Vein Thrombosis

Renal vein thrombosis in a renal allograft

2006 ◽  
Vol 67 (8) ◽  
pp. 438-438 ◽  
Author(s):  
SA Summers ◽  
W Partridge ◽  
C Laing ◽  
PR Cook
Keyword(s):  
Renal Vein ◽  
Renal Allograft ◽  
Renal Vein Thrombosis ◽  
Vein Thrombosis

scholarly journals Late-onset renal vein thrombosis in renal allograft

2016 ◽  
Vol 10 (2) ◽  
pp. 40-42
Author(s):  
Vaidehi K. Pandya ◽  
Harsh C. Sutariya
Keyword(s):  
Renal Vein ◽  
Renal Allograft ◽  
Late Onset ◽  
Renal Vein Thrombosis ◽  
Vein Thrombosis

Diagnosis of renal allograft rejection and acute tubular necrosis by 99mTc-mononuclear leukocyte imaging

2004 ◽  
Vol 36 (10) ◽  
pp. 2997-3001 ◽  
Author(s):  
S.A. Lopes de Souza ◽  
L.M. Barbosa da Fonseca ◽  
R. Torres Gonçalves ◽  
D. Salomão Pontes ◽  
T.J. Holzer ◽  
...  
Keyword(s):  
Acute Tubular Necrosis ◽  
Allograft Rejection ◽  
Renal Allograft ◽  
Mononuclear Leukocyte ◽  
Renal Allograft Rejection ◽  
Tubular Necrosis ◽  
Leukocyte Imaging
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