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Related Experiment Videos

Early graft dysfunction due to renal vein compression

C W Yang1, S H Lee, S W Choo

  • 1Department of Internal Medicine, Kangnam St. Mary's Hospital, Catholic University Medical College, Seoul, Korea.

Nephron
|January 1, 1996
PubMed
Summary

Renal vein compression is a rare cause of early kidney transplant dysfunction. Diagnosis via duplex sonography and treatment with nephropexy offer a simple solution for this complication.

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Area of Science:

  • Nephrology
  • Transplant Surgery
  • Vascular Surgery

Background:

  • Early graft dysfunction is a significant concern in renal transplantation.
  • Identifying the underlying causes is crucial for successful outcomes.

Observation:

  • A case of early renal transplant dysfunction presented with oliguria and massive hematuria on post-transplant day 3.
  • Initial graft function was satisfactory before the onset of symptoms.

Findings:

  • Duplex sonography revealed turbulent blood flow in the renal vein.
  • Renal venography confirmed significant renal vein compression.
  • Exploratory laparotomy and subsequent nephropexy resolved the dysfunction and initiated diuresis.

Implications:

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  • Renal vein compression, though rare, should be considered in the differential diagnosis of early renal transplant dysfunction.
  • Duplex sonography provides a simple diagnostic tool for this condition.
  • Nephropexy is an effective and easily performed treatment for renal vein compression post-transplant.