Bibliographic Details
| Title: |
Allograft dysfunction and parenchymal necrosis associated with renal artery stenosis and perigraft hematoma after kidney transplantation |
| Authors: |
Han Sae Kim, Jin Ho Lee, Dong Yeol Lee, Hee Yeoun Kim, Dong Han Kim, Joon Seok Oh, Yong Hun Sin, Joong Kyung Kim, Seun Deuk Hwang |
| Source: |
Korean Journal of Transplantation, Vol 34, Iss 2, Pp 126-131 (2020) |
| Publisher Information: |
Korean Society for Transplantation, 2020. |
| Publication Year: |
2020 |
| Collection: |
LCC:Medical technology |
| Subject Terms: |
kidney transplantation, transplant renal artery stenosis, graft dysfunction, Medical technology, R855-855.5 |
| More Details: |
Transplant renal artery stenosis (TRAS) is one cause of allograft dysfunction. TRAS causes parenchymal necrosis and graft insufficiency. Herein, we report the case of a 40-year-old female with end-stage renal disease due to immunoglobulin A nephropathy, who underwent kidney transplantation with her elder sister. The surgery was successful and the allograft showed primary graft function. At postoperative day (POD) 2, urine output decreased sharply. We checked a non-enhanced abdominal computed tomography scan which showed subcapsular and pelvic cavity hematomas. She underwent hematoma removal surgery with renal upper polar capsulotomy. Bleeding control was successful, but her serum creatinine was 5.4 mg/dL. At POD 25, abdomen magnetic resonance angiography showed significant stenosis at the anastomosis site between the graft renal artery and the recipient’s internal iliac artery. Then, percutaneous transluminal angioplasty was implemented. Significant stenosis (>80%) was detected at the anastomotic site and a 5-mm stent was inserted at stenotic lesion with post-stent balloon angioplasty using a 5-mm balloon catheter. The renal arterial diameter and blood flow were normalized. At postoperative 5 months, a 99mTc dimercaptosuccinic acid scan showed multiple focal radioisotope defects. At 54 months after renal transplantation, her serum creatinine level was 4.0 mg/dL and her glomerular filtration rate was 13 mL/min/1.73 m2. Hence, we report that TRAS can cause parenchymal necrosis and allograft dysfunction. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2671-8790 |
| Relation: |
http://journaleditor.inforang.com/journal/view.html?doi=10.4285/kjt.2020.34.2.126; https://doaj.org/toc/2671-8790 |
| DOI: |
10.4285/kjt.2020.34.2.126 |
| Access URL: |
https://doaj.org/article/b274d37b11c742668e139bc930cbac15 |
| Accession Number: |
edsdoj.b274d37b11c742668e139bc930cbac15 |
| Database: |
Directory of Open Access Journals |
