SPONTANEOUS RENAL ALLOGRAFT RUPTURE OF UNKNOWN ETIOLOGY: A CASE REPORT.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2018, Vol 6, Issue 10
Abstract
Introduction: Rupture of renal allograft is a rare but serious complication of transplantation. This is usually attributed to acute rejection, acute tubular necrosis, or renal vein thrombosis.Some other causes like renal graft biopsy and lymphatic obstruction are also mentioned as possible causes. This usually occurs during the first 1-3 weeks following transplantation, but cases occurring as late as 72 months have been reported. Case: A 23 yearold male with established chronic kidney disease stage 5(CKD V), underwent live related renal transplantation (LRRT) using kidney from a 46 year old donor (Mother). The laparoscopic donor nephrectomy was uneventful. Patient had an uneventful intraoperative course with usual early postoperative recovery. The patient was having a good early post operative course. On POD 2 there was sudden decrease in urine output to 100 ml/hr. USG Doppler on the same day evening showed normal color flow in renal artery and renal vein. At around 7 pm, there was sudden increase in drain output with fresh blood as content (500 ml in 10 mins) with tachycardia and hypotension. In view of increased drain output, patient was taken to OR and re exploration was done. At re exploration, the renal allograft was found to have two longitudinal ruptures of around 8?1?2 and 5?1?1 cms(Length?Width?Depth)with active bleed. Initial attempt was made to achieve haemostasis and salvage the graft kidney, but due to uncontrolled bleed, explantation was performed. Histologyshowed features of acute tubular injury. However there was no evidence of acute rejection, ATN or vascular thrombosis. Conclusion:This case demonstrates that early diagnosis and prompt treatment of a life-threatening condition like renal allograft rupture with explantation of the graft may be required in certain conditions as a life saving procedure.
Authors and Affiliations
Umar maqbool, Asuri krishna, V. K. Bansal, Om prakash, Subodh Kumar.
Keywords
Related Articles
- EP ID EP409913
- DOI 10.21474/IJAR01/7872
- Views 69
- Downloads 0
ALLOGRAFTS AND ITS SAFETY IN PERIODONTAL REGENERATIVE THERAPY.
Bone allografts are being widely used in field of periodontology, many of clinicians are not unfamiliar with their preparation and processing as well as their use as safe and effective graft materials. The major issues a...
GUARDIANSHIP UNDER SAYYIDINA ALIS رضی اللہ عنہ TIMES.
Responsibility and care of people holds a significant place in the teachings of Islam. After the Prophet ﷺ, his noble khulafa or vicegerents established a worthy system of application of these teachings. The present arti...
PEDIATRIC SADDLE EMBOLISM ? A RARE CASE REPORT.
Acute limb ischemia in pediatric patients is rare and may lead to limb loss and life long complications. So far many publications have been made on pediatric acute limb ischemia and its management. But no case report hav...
A STUDY TO ASSESS THE EFFECTIVENESS OF PLANNED TEACHING PROGRAMME ON KNOWLEDGE REGARDING PREVENTION OF CERVICAL CANCER BY VACCINATION AMONG FEMALE FACULTY AT SELECTED UNIVERSITY ASSAM.
Cervical cancer is the 2nd most common cancer of women worldwide as well in India with estimation 123,000 new cases and 67,500 deaths reported by GLOBALCON-2014 and 453.02 millions of women at risk within the age group 1...
MATERNAL OBESITY AND FACTORS ASSOCIATED WITH MODE OF DELIVERY.
Background: Maternal obesity has become one of the most commonly occurring risk factors in obstetric practice. Obesity during pregnancy and pre-pregnancy increases the risk of various pregnancy complications, like high b...