Oliguria due to extensive subcapsular hematoma in renal graft: does surgical intervention ensure better outcomes?
| Autor: | Umair Syed Mahmud, Nadeem Iqbal, Asfand Yar, Abdul Ahad Ehsan Sheikh, Rabiyya Khan |
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| Rok vydání: | 2019 |
| Předmět: |
Nephrology
medicine.medical_specialty business.industry medicine.medical_treatment 030232 urology & nephrology Renal graft Case Report General Medicine 030204 cardiovascular system & hematology medicine.disease Subcapsular Hematoma Surgery 03 medical and health sciences surgical procedures operative 0302 clinical medicine Hematoma Transplant surgery Oliguria Internal medicine medicine Capsulotomy medicine.symptom business Kidney transplantation |
| Zdroj: | CEN Case Reports. 8:147-150 |
| ISSN: | 2192-4449 |
| DOI: | 10.1007/s13730-019-00377-5 |
| Popis: | A 58-year-old male patient, with end-stage renal disease secondary to hypertension, underwent living-related kidney transplant at our transplant unit. The transplant surgery went uneventful and brisk urine output was recorded. Four hours after the transplant, the output suddenly dropped despite normal central venous pressure. Doppler scan revealed an extensive peri-allograft hematoma and high renal arterial resistive indices (RI). The patient was taken to the operating room where capsulotomy of the subcapsular hematoma was done. Postoperatively, the urine output restored to normal and the patient was sent home on the 5th post-operative day with adequately functioning renal graft. Surgical capsulotomy seems to be a valid approach in the management of such cases. |
| Databáze: | OpenAIRE |
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