Renal transplant compartment syndrome: a case report
| Autor: | M. Centanaro, M. Bertocchi, A. De Negri, E. Moraglia, Dallatomasina S, P. Diviacco, Irma Nardi, Gregorio Santori, D Ghinolfi, Umberto Valente, Tommasi Gv, A. Magoni Rossi, Iris Fontana, F. Piaggio |
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| Jazyk: | angličtina |
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
Abdominal compartment syndrome Glomerulonephritis Membranoproliferative medicine.medical_treatment Renal function Compartment Syndromes KidneyTransplantation Peritoneal dialysis chemistry.chemical_compound Postoperative Complications Ascites medicine Paracentesis Humans Transplantation Creatinine Kidney medicine.diagnostic_test business.industry Graft Dysfunction Middle Aged medicine.disease Compartment Syndrome Kidney Function Kidney Transplantation Surgery Treatment Outcome medicine.anatomical_structure chemistry Renal pathology Female Portasystemic Shunt Transjugular Intrahepatic medicine.symptom business Peritoneal Dialysis |
| Popis: | An unusual case of early double kidney transplant dysfunction due to abdominal compartment syndrome is herein reported. A 62-year-old woman on peritoneal dialysis underwent dual kidney transplantation. The grafts were positioned extraperitoneally in both iliac possae using standard techniques. Surgical procedures and immediate postoperative period were uneventful. The urine output was immediate and the creatinine decreased, but in a few days she developed severe ascites with reduced urine output, increased creatinine, and progressive changes on Doppler ultrasound. The patient underwent paracentesis: the kidney function recovered as well as the Doppler ultrasound. Kidney biopsy was negative for rejection or renal pathology. Graft dysfunction was related to the presence of ascites. A catheter inserted in the abdomen measured intra-abdominal pressure (IAP) of 14 mm Hg. IAP correlated with renal function showing that IAP probably explained renal flow modifications. |
| Databáze: | OpenAIRE |
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