Reversible Renal Allograft Dysfunction and Proteinuria From Nutcracker-Like Syndrome: A Case Report
| Autor: | S.G.S. Krishnan, M. Gitman, M. Susin, M. Bhaskaran, R. Mossey, E. Linden, J. Pritsiolas, E. Beil-Levi |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Urinary system Urology Renal Veins Lymphocele chemistry.chemical_compound Living Donors medicine Humans Transplantation Creatinine Kidney Proteinuria business.industry Ultrasonography Doppler medicine.disease Kidney Transplantation Surgery Treatment Outcome medicine.anatomical_structure chemistry Kidney Failure Chronic Female Hemodialysis medicine.symptom Renal vein business |
| Zdroj: | Transplantation Proceedings. 39:1685-1687 |
| ISSN: | 0041-1345 |
| Popis: | A 27-year-old Hispanic man with hypertension and renal failure was on hemodialysis for 4 years prior to receiving a living donor renal transplant from his 19-year-old sister. His serum creatinine decreased to 1.7 mg/dL at 3 weeks posttransplant with a urine protein creatinine ratio (UP) of 0.1 (g/g). Over the next 2 months, he experienced repeated episodes of allograft dysfunction with elevation of creatinine and proteinuria levels, associated with a lymphocele. Doppler studies of the allograft revealed renal vein compression. His symptoms responded to aspiration of the fluid collection, resolving completely with surgical drainage. We believe that the episodes of allograft dysfunction and proteinuria were related to recurrent lymphocele, causing a nutcracker-like syndrome. |
| Databáze: | OpenAIRE |
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