Allograft loss from acute Page kidney secondary to trauma after kidney transplantation.

Autor:	Takahashi K; Kazuhiro Takahashi, Krishna G Putchakayala, William J Kane, Jason E Denny, Dean Y Kim, Lauren E Malinzak, Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI 48202, United States., Prashar R; Kazuhiro Takahashi, Krishna G Putchakayala, William J Kane, Jason E Denny, Dean Y Kim, Lauren E Malinzak, Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI 48202, United States., Putchakayala KG; Kazuhiro Takahashi, Krishna G Putchakayala, William J Kane, Jason E Denny, Dean Y Kim, Lauren E Malinzak, Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI 48202, United States., Kane WJ; Kazuhiro Takahashi, Krishna G Putchakayala, William J Kane, Jason E Denny, Dean Y Kim, Lauren E Malinzak, Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI 48202, United States., Denny JE; Kazuhiro Takahashi, Krishna G Putchakayala, William J Kane, Jason E Denny, Dean Y Kim, Lauren E Malinzak, Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI 48202, United States., Kim DY; Kazuhiro Takahashi, Krishna G Putchakayala, William J Kane, Jason E Denny, Dean Y Kim, Lauren E Malinzak, Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI 48202, United States., Malinzak LE; Kazuhiro Takahashi, Krishna G Putchakayala, William J Kane, Jason E Denny, Dean Y Kim, Lauren E Malinzak, Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI 48202, United States.
Jazyk:	angličtina
Zdroj:	World journal of transplantation [World J Transplant] 2017 Feb 24; Vol. 7 (1), pp. 88-93.
DOI:	10.5500/wjt.v7.i1.88
Abstrakt:	We report a rare case of allograft loss from acute Page kidney secondary to trauma that occurred 12 years after kidney transplantation. A 67-year-old Caucasian male with a past surgical history of kidney transplant presented to the emergency department at a local hospital with left lower abdominal tenderness. He recalled that his cat, which weighs 15 lbs, jumped on his abdomen 7 d prior. On physical examination, a small tender mass was noticed at the incisional site of the kidney transplant. He was producing a normal amount of urine without hematuria. His serum creatinine level was slightly elevated from his baseline. Computer tomography revealed a large subscapular hematoma around the transplant kidney. The patient was observed to have renal trauma grade II at the hospital over a period of three days, and he was finally transferred to a transplant center after his urine output significantly decreased. Doppler ultrasound demonstrated an extensive peri-allograft hypoechoic area and abnormal waveforms with absent arterial diastolic flow and a patent renal vein. Despite surgical decompression, the allograft failed to respond appropriately due to the delay in surgical intervention. This is the third reported case of allograft loss from acute Page kidney following kidney transplantation. This case reinforces that kidney care differs if the kidney is solitary or a transplant. Early recognition and aggressive treatments are mandatory, especially in a case with Doppler signs that are suggestive of compression. Competing Interests: Conflict-of-interest statement: None of the authors has conflicts of interests to declare.
Databáze:	MEDLINE
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