Salvage of an iatrogenic partial allograft nephrectomy during caesarean section-a case report.

Autor: Shaheen MF; Organ Transplant Center and Hepatobiliary Sciences Department, King Abdulaziz Medical City, Ministry of the National Guard - Health Affairs, Riyadh, Saudi Arabia., Alsugair S; College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia., AbuMelha SM; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia., Almarastani M; Organ Transplant Center and Hepatobiliary Sciences Department, King Abdulaziz Medical City, Ministry of the National Guard - Health Affairs, Riyadh, Saudi Arabia., Altheaby A; Organ Transplant Center and Hepatobiliary Sciences Department, King Abdulaziz Medical City, Ministry of the National Guard - Health Affairs, Riyadh, Saudi Arabia.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2022 May 27; Vol. 2022 (5), pp. rjac226. Date of Electronic Publication: 2022 May 27 (Print Publication: 2022).
DOI: 10.1093/jscr/rjac226
Abstrakt: Since transplanted kidney allografts are standardly placed in a heterotopic pelvic position, any surgical intervention in the pelvis carries the potential risk for allograft injury. A 41-year-old female G4P2 with history of prior kidney transplants presented for an elective cesarean sections (CS). During the CS, profound bleeding was encountered and was later realized to be from the transplanted kidney allograft. A complete transection of the upper pole with the injury extending to the hilar structures was noted. Careful intraoperative evaluation led to the decision favoring a salvage attempt of the remaining part of the allograft. The patient continues to enjoy sufficient allograft function 6 months after the incident. To conclude, although CS after kidney transplantation is considered safe, the risk of allograft injury remains possible with potentially catastrophic consequences. This case highlights the importance of rapid surgical expertise and appropriate preoperative evaluation, preparation and planning.
(Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2022.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje