Deceased donor kidney transplant complicated by spontaneous rupture of native kidney in a HIV patient
| Autor: | Stephanie Lombardi, Oscar K. Serrano, Bejon Maneckshana, Heather L. Kutzler, Sara Moradi, Patricia Sheiner, Caroline Rochon |
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| Rok vydání: | 2019 |
| Předmět: |
Nephrology
Spontaneous rupture Male medicine.medical_specialty medicine.medical_treatment 030232 urology & nephrology Delayed Graft Function HIV Infections Case Report 030204 cardiovascular system & hematology Kidney Kidney transplant Nephrectomy 03 medical and health sciences 0302 clinical medicine Postoperative Complications Renal Dialysis Internal medicine medicine Cadaver Humans Native kidney Aged Deceased donor kidney Rupture Spontaneous business.industry General Medicine Kidney Transplantation Thrombocytopenia Tissue Donors Surgery Black or African American Treatment Outcome Hypertension Hemodialysis business Tomography X-Ray Computed |
| Zdroj: | CEN case reports. 9(2) |
| ISSN: | 2192-4449 |
| Popis: | Spontaneous native kidney rupture (SNKR) is a rare occurrence, commonly associated with underlying renal tumors or acquired renal cystic disease in both the kidney transplant (KT) and non-KT populations. Herein, we present a 65-year-old African American man who experienced a non-malignant SNKR 6 days after a deceased donor KT and underwent emergent native nephrectomy. The patient’s hospital course was complicated by thrombocytopenia and refractory hypertension. He experienced delayed graft function and was maintained on hemodialysis until post-operative day 30. This case demonstrates an unusual presentation of SNKR in the immediate post-KT setting and illustrates the clinical decision-making algorithm. |
| Databáze: | OpenAIRE |
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