AI Article Synopsis
- A 21-year-old woman diagnosed with horseshoe kidney underwent peritoneal dialysis from 2005 to 2009 before receiving a kidney transplant, which was complicated by infections and acute rejection, leading to graft failure.
- She returned to peritoneal dialysis for two years and then received a second kidney transplant in March 2011, which functioned well initially but later caused complications like ascites and severe encapsulating sclerosing peritonitis.
- After surgical interventions due to complications and acute allograft rejection, she is now successfully on everolimus and dialysis, with her overall health improved.
Article Abstract
A 21-year-old female patient was diagnosed with horseshoe kidney at the age of 10. She had been treated with peritoneal dialysis from 2005 to 2009, when she received kidney from a deceased donor. The posttransplant course was complicated by development of Pseudomonas aeruginosa and Candida sepsis. Reduced immunosuppression resulted in acute rejection, which demanded graphtectomy 2 months after transplantation. She restarted peritoneal dialysis for additional 2 years. In March 2011, she received her second transplant with excellent function. Nine months after the transplantation, she developed ascites, with early satiety and vomiting. MSCT revealed severe encapsulating sclerosing peritonitis. Her overall condition deteriorated, so she underwent adhesiolysis with resection of incarcerated terminal ileum. Due to acute allograft rejection, urgent graphtectomy was performed. Currently, she is receiving everolimus and dialysis successfully, with excellent overall status.
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