Post transplant renal vein thrombosis, with successful thrombectomy and review of the literature.

Int J Surg Case Rep

Renal Path Diagnostics at Pathologist Biomedical Laboratories, Dallas, TX, United States.

Published: July 2019

AI Article Synopsis

  • Renal vein thrombosis (RVT) after kidney transplant is rare (0.3-4.2% prevalence) but can lead to severe outcomes, including graft failure or death, especially if it occurs early.
  • The case study discusses a patient who had RVT in a living donor kidney transplant while still having some kidney function from the failing allograft.
  • The successful treatment involved quick diagnosis followed by emergency surgical thrombectomy and re-implantation of the allograft.

Article Abstract

Introduction: Renal vein thrombosis post kidney transplant is a rare but graft threatening event. RVT is reported in 0.3-4.2% of kidney transplants. When occurring early post transplant, prior to development of collateral venous outflow, may be catastrophic with loss of the allograft or even death. Anatomic abnormalities or technical problems during surgery are common causes. Early diagnosis and urgent treatment are necessary but often unsuccessful.

Presentation Of Case: We report a patient with residual function in a failing allograft who developed RVT in a living donor preemptive kidney transplant.

Discussion: We review the literature regarding renal vein thrombosis following kidney transplant.

Conclusion: Prompt diagnosis and immediate surgicathrombectomy after ex-planting allograft with subsequent re-implanting the allograft was successful.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699557PMC
http://dx.doi.org/10.1016/j.ijscr.2019.07.066DOI Listing

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