Spontaneous renal allograft rupture complicated by urinary leakage: case report and review of the literature

Favi, Evaldo; Iesari, Samuele; Cina, Alessandro; Citterio, Franco

doi:10.1186/s12894-015-0109-3

Cited by 10 publications

(5 citation statements)

References 38 publications

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“…Spontaneous renal rupture usually occurs after upper urinary calculi-related operation treatment or renal tumor, [ 2 , 4 ] it has also been reported during pregnancy, [ 5 ] transplant kidney and nephritis. [ 6 , 7 ] According to the location of renal rupture, it can be divided into renal parenchyma rupture, collecting system rupture or mixed rupture, [ 1 ] patient may experience corresponding symptoms, such as pain, hematuresis and Wunderlich syndrome. [ 7 ] The patient did not have any obstruction and tumor, but this patient has a compensatorily enlarged left kidney due to the atrophy of the right kidney, this left kidney may be relatively fragile, more importantly, the patient has hemophilia, which is a bleeding-prone disease for the lack of clotting factor.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous renal rupture caused by factor VII deficiency: A case report

Yang,

Luo,

et al. 2024

Medicine

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Rationale: Spontaneous renal rupture is an uncommon disease, it usually occurs after upper urinary calculi-related operation treatment or renal tumor. This disease caused by factor VII deficiency has rarely reported. Patient concerns: A 49-year-old woman came to our hospital with on the left flank pain and gross hematuria that had persisted for 10 days. The patient had no recent history of waist and abdominal trauma or surgical history recently. Diagnoses: An outside computed tomography (CT) examination revealed left renal rupture before arriving at our hospital, but she was not treated. Further laboratory examination revealed that the patient condition was turned out to be hemophilia caused by factor VII deficiency. Intervention: We have used both internal and external drainage methods, and supplemented with coagulation factor. Outcome: After 9 months of follow-up, it was observed that the left renal hematoma and urinary extravasation was completely absorbed. Lessons: Spontaneous renal rupture for hemophilia is a clinical emergency. When spontaneous renal rupture is associated with abnormal coagulation function, and the coagulation function cannot be corrected by conventional treatment, the possibility of hemophilia needs to be considered, and the type of hemophilia needs to be further defined. This case indicates a successful resolution of spontaneous renal rupture, it can provide guiding value for our clinical practice.

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Section: Discussionmentioning

confidence: 99%

Spontaneous renal rupture caused by factor VII deficiency: A case report

Yang,

Luo,

et al. 2024

Medicine

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“…There have been several reports of successful applications of AngioJet in cases of renal infarction due to renal artery thrombosis or emboli; nonetheless, no case of kidney rupture after reperfusion has been described [ 23 , 24 , 25 ]. It remains undetermined whether the rupture of the right kidney after the restoration of the patency of RI occurred as a result of concomitant renal vein thrombosis, similarly to several reports of renal allograft ruptures, or due to intraoperative injury at the time of the thrombectomy [ 26 , 27 ]. Notwithstanding this, the remaining left kidney was reperfused successfully, and no significant deterioration of the creatinine level or GFR was observed in the subsequent four years of follow-up.…”

Section: Discussionmentioning

confidence: 99%

When Bodybuilding Goes Wrong—Bilateral Renal Artery Thrombosis in a Long-Term Misuser of Anabolic Steroids Treated with AngioJet Rheolytic Thrombectomy

Lemiński

Kubis

Kaczmarek

et al. 2022

IJERPH

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Bilateral renal infarction is an extremely rare condition with only few cases reported in the literature. We present a case of bilateral renal infarction affecting an otherwise healthy 34 year old bodybuilder chronically misusing testosterone and stanozolol. The patient presented with severe flank pain mimicking renal colic and biochemical features of acute kidney injury. Diagnostic workup revealed thrombosis affecting both renal arteries. Subsequently, the patient underwent a percutaneous rheolytic thrombectomy with AngioJet catheter, along with catheter-directed thrombolysis. Right-sided retroperitoneal hematoma developed as an early complication, mandating surgical exploration and nephrectomy due to kidney rupture and the unstable condition of the patient. Intensive care and continuous renal replacement therapy were instigated until a gradual improvement of the patient status and a return of kidney function was achieved. No abnormalities were found in the cardiological and hematological evaluation. We believe this is a first report of bilateral renal infarction associated with anabolic steroid misuse in an otherwise healthy individual, and a first report of AngioJet thrombectomy in bilateral thrombosis of renal arteries. It stresses the importance of a thorough diagnostic workup of colic patients and emphasizes the need for sports medicine to reach out to amateur athletes with education on the harms of doping.

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“…Renal graft rupture is usually an early event set in the postoperative period [12], and its most important cause is acute organ rejection, followed by renal vein thrombosis, acute tubular necrosis, trauma, renal biopsy, ureteral obstruction, and cancer. The clinical presentation of kidney rupture is often dramatic, due to acute blood loss and severe graft dysfunction, which may, respectively, lead to hemodynamic instability and multiple organ failure [13,14].…”

Section: Discussionmentioning

confidence: 99%

Subcapsular Renal Hematoma in Simultaneous Pancreas Kidney Transplantation

Cappellani

Terrenzio

Gianetti

et al. 2020

Case Reports in Transplantation

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Subcapsular renal hematoma (SRH) is a challenging condition, which may jeopardize kidney function or constitute a life-threatening event. This is particularly true in single-kidney patients, such as kidney-transplant recipients. SRH may exert an excessive pressure on the surrounding parenchyma, thus resulting in hypoperfusion and ischemia, with high risk of acute kidney failure and graft loss. Moreover, SRH may precede an overt renal rupture with subsequent hemorrhage and hemodynamic instability. The indication to an interventional management for this condition is still a matter of debate, with some authors advocating the high possibilities of spontaneous resolution and others advocating the high-risk of graft loss and even internal bleeding in case of overt renal rupture. Herein, we report the case of a 51-year-old simultaneous pancreas-kidney transplantation recipient who presented a SRH following a mild trauma. The therapeutic choices were carefully balanced on the specific case, and the conservative management proved successful.

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Spontaneous renal allograft rupture complicated by urinary leakage: case report and review of the literature

Cited by 10 publications

References 38 publications

Spontaneous renal rupture caused by factor VII deficiency: A case report

Spontaneous renal rupture caused by factor VII deficiency: A case report

When Bodybuilding Goes Wrong—Bilateral Renal Artery Thrombosis in a Long-Term Misuser of Anabolic Steroids Treated with AngioJet Rheolytic Thrombectomy

Subcapsular Renal Hematoma in Simultaneous Pancreas Kidney Transplantation

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