Morbus Strangularis Post Living-Donor Kidney Transplantation: Case Report & Review of Literature

Abstract

Ultrasound of the neck showed evidence of supraglottic edema, a finding that is confirmed by a computed tomography (CT) scan that confirmedsupraglottitis and soft-tissue gas. Leukocyte count was 36 x 10 3 /mm 3 , and anion gap measurement indicates metabolic acidosis. After stabilization by administration of intravenous fluids and antibiotic agents, the patient was transferred to the operating room, where drainage and cleaning of the anterior neck and floor of the mouth space was done through 3 incisions: two submandibular & one submental. Blood clots and necrotic tissues were optimally removed, tracheostomy was not indicated. The wounds were closed with drains. Four days later, an additional drainage procedure was performed because of an infected fluid collection, and complete dental extraction was done. Patient was discharged in a good condition and at basal graft function.