Severe Renal Vein Stenosis of a Kidney Transplant with Beneficial Clinical Course after Successful Percutaneous Stenting

Obed, Aiman; Uihlein, D. C.; Zorger, N.; Farkas, S.; Scherer, MN; Krüger, Bernd; Banas, Bernhard; Krämer, B. K.

doi:10.1111/j.1600-6143.2008.02356.x

Cited by 48 publications

(27 citation statements)

References 10 publications

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“…Effective treatment to relieve the compression may involve early re-exploration if one suspects it is due to a cyst, other solid lesion, or a lymphocele or hematoma. Resolution of the thrombosis may require urgent thrombectomy, renal vein stenting, 17 and/or anticoagulation.…”

Section: Discussionmentioning

confidence: 99%

Late-onset renal vein thrombosis: A case report and review of the literature

Hogan

Rosenthal

Yarlagadda

et al. 2015

International Journal of Surgery Case Reports

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INTRODUCTIONRenal vein thrombosis, a rare complication of renal transplantation, often causes graft loss. Diagnosis includes ultrasound with Doppler, and it is often treated with anticoagulation or mechanical thrombectomy. Success is improved with early diagnosis and institution of treatment.PRESENTATION OF CASEWe report here the case of a 29 year-old female with sudden development of very late-onset renal vein thrombosis after simultaneous kidney pancreas transplant. This resolved initially with thrombectomy, stenting and anticoagulation, but thrombosis recurred, necessitating operative intervention. Intraoperatively the renal vein was discovered to be compressed by a large ovarian cyst.DISCUSSIONCompression of the renal vein by a lymphocele or hematoma is a known cause of thrombosis, but this is the first documented case of compression and thrombosis due to an ovarian cyst.CONCLUSIONEarly detection and treatment of renal vein thrombosis is paramount to restoring renal allograft function. Any woman of childbearing age may have thrombosis due to compression by an ovarian cyst, and screening for this possibility may improve long-term graft function in this population.

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Section: Discussionmentioning

confidence: 99%

Late-onset renal vein thrombosis: A case report and review of the literature

Hogan

Rosenthal

Yarlagadda

et al. 2015

International Journal of Surgery Case Reports

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“…The incidence of arterial thrombosis is 0.3%-6.1% [12]. It is most common in the first two weeks of transplantation, 80% in the first month and 93% in the first year [13].…”

Section: Discussionmentioning

confidence: 99%

Outcomes and Surgical Complications in Kidney Transplantation

Reyna-Sepúlveda¹

2016

J Transplant Res

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“…6 Sudden oliguria, hematuria, pain in the transplantation region, lifethreatening rupture and bleeding are clinical signs of this complication. Risk factors include surgical technique, hypercoagulopathy, right kidney transplantation, kidney transplantation in the left iliac fossa, lymphoceles, and vascular compression due to hematoma or hypovolemia.…”

Section: Vascular Thrombosis 21 Renal Vein Thrombosismentioning

confidence: 99%

“…11,12 The first sign of arterial thrombosis is a sudden decrease in urine outflow; physicians should be aware that in cases in which the native kidney is producing urine and there is a delay in graft function, this early sign could be masked. The most common causes of renal artery thrombosis are technical.…”

Section: Etiologymentioning

confidence: 99%