[Renal graft rupture].

Spontaneous rupture of the renal graft is a serious early complication of renal transplantation, which can be responsible for loss of the graft. It usually follows an episode of acute rejection or acute tubular necrosis. It has a poor prognosis, as treatment consists of graft nephrectomy in the majority of cases. The authors report a case of renal graft rupture discovered during reoperation for severe bleeding. Rupture was secondary to acute tubular necrosis. Treatment is designed to preserve the kidney. The outcome was favourable with complete recovery of graft function.