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Subcapsular Hematoma Causing Anuria After Renal Graft Trauma
Omidreza Sedigh1, Fedele Lasaponara, Ettore Dalmasso
1From the Division of Urology - Città della Salute e della Scienza di Torino, Italy.
Summary
Traumatic kidney graft injury can cause subcapsular hematomas, leading to anuria. Urgent surgical decompression is vital for kidney graft recovery, even without anemia.
Area of Science:
- Nephrology
- Transplant Surgery
- Trauma Surgery
Background:
- Kidney graft trauma can lead to complications.
- Subcapsular hematomas are a known risk.
Observation:
- A 67-year-old man developed anuria 22 hours after kidney graft trauma.
- CT revealed a 4-cm subcapsular hematoma without active bleeding.
Findings:
- Urgent surgical decompression of the hematoma was performed.
- No active bleeding or parenchymal laceration was found.
- Urinary output recovered post-surgery without complications.
Implications:
- Subcapsular hematomas after kidney graft trauma can cause progressive parenchymal compression and anuria.
- Prompt surgical intervention is crucial for graft salvage.
- Early ultrasound is recommended for all graft trauma evaluations.
- Surgical exploration may be preferred over observation to prevent complications like organ rejection or Page kidney.
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