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Spontaneous renal allograft rupture without rejection: a case report
The Journal of Urology
|June 1, 1976
Summary
A rare case of spontaneous renal allograft rupture was successfully treated with prompt surgical repair, preserving graft function. This complication may be linked to prolonged ice preservation and graft positioning.
Area of Science:
- Nephrology
- Transplant Surgery
Background:
- Spontaneous renal allograft rupture is an infrequent but serious post-transplant complication.
- It typically presents early post-transplant with localized pain, swelling, hypotension, and falling hematocrit.
Observation:
- A case of spontaneous renal allograft rupture is presented.
- The rupture occurred in the early post-transplant period in an oliguric patient.
- The patient experienced progressive pain, tenderness, and swelling at the transplant site, accompanied by hypotension and decreasing hematocrit.
Findings:
- Prompt surgical exploration and repair of the defect on the convex border of the renal allograft successfully controlled hemorrhage.
- The graft survived, with normal blood urea nitrogen and creatinine levels 10 months post-transplantation.
- Renal biopsy showed no evidence of rejection or acute tubular necrosis.
Implications:
- Timely surgical intervention is crucial for managing renal allograft rupture and ensuring graft survival.
- Prolonged ice preservation (24 hours) and graft positioning may contribute to renal allograft susceptibility to rupture.