Left-Sided Pneumothorax in a Potential Kidney Transplant Recipient-A Surprise in the Surgical Ward: Case Report.

Autor: Jakubowska Z; Department of Nephrology, Dialysis and Internal Diseases, Medical University of Warsaw, Warsaw, Poland. Electronic address: zuzanna.jakubowska@wum.edu.pl., Kępska-Dzilińska M; Department of Nephrology, Dialysis and Internal Diseases, Medical University of Warsaw, Warsaw, Poland., Żebrowski P; Department of Nephrology, Dialysis and Internal Diseases, Medical University of Warsaw, Warsaw, Poland., Macech M; Department of General, Vascular and Transplant Surgery, Medical University of Warsaw, Warsaw, Poland., Nazarewski S; Department of General, Vascular and Transplant Surgery, Medical University of Warsaw, Warsaw, Poland., Gałązka Z; Department of General, Vascular and Transplant Surgery, Medical University of Warsaw, Warsaw, Poland., Małyszko J; Department of Nephrology, Dialysis and Internal Diseases, Medical University of Warsaw, Warsaw, Poland.
Jazyk: angličtina
Zdroj: Transplantation proceedings [Transplant Proc] 2024 May; Vol. 56 (4), pp. 992-994. Date of Electronic Publication: 2024 May 04.
DOI: 10.1016/j.transproceed.2024.04.010
Abstrakt: Background: The risk of morbidity and mortality in the group of people qualified for kidney transplantation is high. Although currently, the qualification for kidney transplantation is very extensive and detailed, the final examination and assessment at the transplant center is crucial for the success of the transplantation.
Case Report: A 50-year-old woman with end-stage kidney disease was admitted to the Department of General, Vascular, and Transplant Surgery on July 21, 2023, for kidney transplantation. A month earlier, she had undergone surgery to create an arteriovenous fistula on the left forearm. The regional anesthesia was performed. Apart from temporary pain and cough, the postoperative course was uncomplicated. Upon admission to the Department, the patient was in good general condition, and only a dry cough was noted during the physical examination. Chest X-ray revealed pneumothorax on the left side with partial lung atelectasis. The patient was temporarily disqualified from kidney transplantation and the pneumothorax was cured. She is currently on the active list waiting for a kidney transplant.
Conclusions: The analysis of the above case emphasizes the importance of a physical examination and final qualification at the transplant center. Detailed examination and evaluation at the above center can improve patients' quality of life and survival.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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