Spontaneous Kidney Allograft Rupture

Shahrokh, Hossein; Rasouli, Hamid Reza; Zargar, Moosa; Karimi, Kian; Zargar, Kamran

doi:10.1016/j.transproceed.2005.07.054

Cited by 26 publications

(23 citation statements)

References 3 publications

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“…The time of occurrence varies from 3 to 30 days of renal transplantation. 3 Of the total 55 patients transplanted at this center only this patient had the problem of renal rupture making it an incidence of 1.8 percent vis a vas the incidence mentioned in the literature as 0.11e6.9 %. 1 The precise pathogenesis of renal rupture is still a topic of discussion, but the essential predisposing factor seems to be acute rejection associated increased intrarenal pressure.…”

Section: Discussionmentioning

confidence: 89%

“…In recent times the incidence of graft nephrectomy has gone down and there is a shift towards graft preservation and aggressive treatment of the underlying cause. 3,4,9 In critically edematous ruptures mattress sutures may not hold and hence the three dimensional compression of the bleeding fissure may not be possible by the sutures alone. Besides the capsule may give way after some time leading to chances of recurrence of rupture.…”

Section: Discussionmentioning

confidence: 99%

“…Conservative treatment in the earlier series had a dismal 30% success rate and graft nephrectomy was carried out more aggressively; but recent reports suggest a potentially salvageable outcome with early surgical intervention in the form of graft repair with good success rates. 3 …”

Section: Introductionmentioning

confidence: 99%

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Spontaneous renal allograft rupture due to iliac vein thrombophlebitis

Kolte

Choube

Hazare

et al. 2015

Indian Journal of Transplantation

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Available online xxxKeywords:Renal rupture Allograft Renal transplant a b s t r a c t Renal allograft rupture is one of the most dreaded complications in patients of kidney transplantation. It has a dramatic and stormy course and may be life threatening for the patient. Although rare, it has to be recognised early and surgical correction and or graft nephrectomy may often be required to salvage the patient. It is usually observed in the first two weeks after transplant. We herein report a case of spontaneous renal allograft rupture in a 50 years old female patient who had undergone a live donor kidney transplantation from her spouse. The patient had a renal rupture on ninth day of surgery. She was reexplored and the rupture was repaired using 2-0 vicryl mattress sutures over surgicell.Her graft recovered completely by day 3 after the repair. However she had pulmonary embolism a day prior to discharge and she succumbed with a functioning graft.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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Spontaneous renal allograft rupture due to iliac vein thrombophlebitis

Kolte

Choube

Hazare

et al. 2015

Indian Journal of Transplantation

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“…Spontaneous renal allograft rupture is one of the most serious complications of kidney transplantation [5, 9–11], which typically occurs within three weeks after transplantation [1]. The prevalence of renal allograft rupture (RAR) varies from 0.3% to 3% [5].…”

Section: Discussionmentioning

confidence: 99%

“…Due to its devastating clinical course and outcome, recognition and prompt management of allograft rupture is important. Usually, nephrectomy is necessary treatment measure, but conservative surgical intervention has also been attempted to preserve the renal allograft in certain cases [2, 5–8]. We report an unusual case of late renal allograft rupture secondary to severe acute rejection, which followed cessation of the patient's immunosuppressive regimen due to advanced chronic allograft failure (CAF).…”

Section: Introductionmentioning

confidence: 99%

Late Renal Allograft Rupture Associated with Cessation of Immunosuppression following Graft Failure

Askandarani

Aloudah

Enazi

et al. 2011

Case Reports in Transplantation

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A 29-year-old man developed chronic allograft nephropathy 63 months after renal transplantation. He became symptomatic with advanced chronic graft failure; his immunosuppressive medications were reduced and he was commenced on haemodialysis. Two months following the withdrawal of immunosuppression, he presented with abdominal pain, haematuria, and a marked drop in haemoglobin. The patient was taken to the operating room, where the renal allograft was found to be ruptured, and graft nephrectomy was subsequently performed. Histological examination of the graft specimen showed severe haemorrhagic acute vascular cellular rejection in a background of marked chronic allograft vasculopathy. Immunostaining for C4d showed diffuse, strong, linear circumferential staining of the peritubular capillaries, indicating a concurrent antibody-mediated rejection. We report herein an unusual case of spontaneous renal allograft rupture that occurred long time after transplantation due to severe acute rejection following cessation of immunosuppressive medications for advanced chronic allograft failure. To the best of our knowledge, the time interval between transplantation and the rupture of this allograft is the longest of those reported in the literature.

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Surgical Complications after Kidney Transplantation

Flechner

2010

Kidney and Pancreas Transplantation

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Spontaneous Kidney Allograft Rupture

Cited by 26 publications

References 3 publications

Spontaneous renal allograft rupture due to iliac vein thrombophlebitis

Spontaneous renal allograft rupture due to iliac vein thrombophlebitis

Late Renal Allograft Rupture Associated with Cessation of Immunosuppression following Graft Failure

Surgical Complications after Kidney Transplantation

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