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Acute renal allograft dysfunction due to cecal volvulus: a case report.
Sherry-Ann N Brown1, Patrick G Dean2, LaTonya J Hickson3
1Division of Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN USA.
Springerplus
|August 28, 2015
Summary
A rare case of acute kidney injury in a kidney transplant recipient was caused by cecal volvulus compressing the ureter. Surgical intervention resolved the acute kidney injury, highlighting diagnostic considerations in transplant patients.
Area of Science:
- Nephrology
- Transplant Surgery
- Gastroenterology
Background:
- Kidney transplant recipients with acute kidney injury (AKI) require broad differential diagnoses.
- Considerations include rejection, infections, anatomic issues, and glomerular diseases.
Purpose of the Study:
- To report an unusual cause of acute renal allograft injury.
- To highlight external ureteral compression by cecal volvulus as a cause of AKI.
Main Methods:
- Retrospective case report review.
- Clinical case presentation and surgical intervention.
Main Results:
- A kidney transplant recipient developed AKI due to ureteral compression from cecal volvulus.
- Surgical treatment (lysis of adhesions, hemicolectomy, ileostomy) led to AKI resolution.
Conclusions:
- Cecal volvulus, though uncommon, can cause AKI via ureteral compression.
- This case underscores the importance of a systematic diagnostic approach in kidney transplant recipients with AKI.
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