Spontaneous lumbar artery rupture in a kidney transplant patient: A case report.

Urol Case Rep

Department of Urology, Faculty of Medicine, Kagawa University, Kagawa, Japan.

Published: March 2020

We experienced a case of retroperitoneal hematoma secondary to spontaneous lumbar artery rupture in a kidney transplant patient. A 48-year-old woman underwent kidney transplantation for end-stage renal disease. Fifteen days after transplantation, the patient presented with strong abdominal and back pain on the right side, and blood examination showed severe anemia. Contrast-enhanced computed tomography and emergent angiography was performed, which showed extravasation from the lumbar artery. Selective angiographic embolization of the lumbar artery was performed, and the patient received a transfusion of red blood cells, following which, hemoglobin increased to 7.6 g/dl. Renal function then stabilized, and anemia improved.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6938848PMC
http://dx.doi.org/10.1016/j.eucr.2019.101092DOI Listing

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