“True” mycotic aneurysm of a renal artery allograft

"True" Mycotic Aneurysm of the Anastomotic Site of the Renal Allograft Artery

“…Oliguria and hypotension also have been reported. [4][5][6] In another report, 10 two patients presented with abdominal pain and hypotension after passing stool. An abdominal bruit was not reported in true mycotic aneurysms, but it was a feature of nonmycotic transplant renal artery aneurysm.…”

“…1 True pseudoaneurysms at the donor renal, external iliac artery anastomosis usually result in high rates of transplant nephrectomy. 3 There have been only a few reports [4][5][6][7] of true mycotic aneurysms of the renal allograft artery (Table 2). It is a result of faulty surgical technique, kinking of the renal artery, instrumental injury during perfusion, dissection of the vasa vasorum, and immunologic mechanisms.…”

“…Another end-stage renal disease patient who underwent continuous ambulatory peritoneal dialysis catheter insertion in the same operating theater, and on the same operation table, also had aspergillus peritonitis postoperatively. The presentations of mycotic aneurysms in these patients included fever, 5,6,9 abdominal and low back ache, 4,6,9 and a pulsatile mass. Oliguria and hypotension also have been reported.…”

Candida Species Contamination of Preservation Fluid—Outcome of Renal Transplantation in 6 Patients

“…6e8, 21,22 This phenomenon may be explained by the ability of C albicans to adhere, invade, and damage human vascular endothelial cells. 24,25 Our affected patients showed clinical presentations similar to those previously described in the literature: some patients have an abrupt onset with hypovolemic shock requiring emergency surgery, while others have a more indolent course with fever or worsening renal function and imaging techniques revealing structural arterial lesions.…”

“…24,25 Our affected patients showed clinical presentations similar to those previously described in the literature: some patients have an abrupt onset with hypovolemic shock requiring emergency surgery, while others have a more indolent course with fever or worsening renal function and imaging techniques revealing structural arterial lesions. 6e9, 21,22 The long evolution period could be considered important to allograft salvage, even though Bracale et al have reported disappointing outcomes: from 6 patients with large anastomotic pseudoaneurysm, 5 had open repair and 1 stent grafting. Nevertheless, transplantectomy was necessary in 5 cases.…”