Mycotic iliac haemorrhage after removal of an infected renal allografts

A case is presented in which after removal of an infected renal allograft because of rejection, mycotic bleeding from the iliac artery could not be treated by ligature of the artery in view of the resulting ischaemia ofthe leg as demonstrated by a trial occlusion. A successful solution to this problem is presented in which a 'gradual ligature' of the iliac artery was brought about using a slow compression instrument. The indications, technique and results in this case of mycotic iliac haemorrhage after transplantectomy are described.