Spontaneous renal allograft rupture due to iliac vein thrombophlebitis

Publication date: Available online 8 May 2015 Source:Indian Journal of Transplantation Author(s): Sanjay Kolte , Sameer Choube , Jitendra Hazare , Bhau Rajurkar , Meenal Kolte Renal allograft rupture is one of the most dreaded complications in patients of kidney transplantation. It has a dramatic and stormy course and may be life threatening for the patient. Although rare, it has to be recognised early and surgical correction and or graft nephrectomy may often be required to salvage the patient. It is usually observed in the first two weeks after transplant. We herein report a case of spontaneous renal allograft rupture in a 50 years old female patient who had undergone a live donor kidney transplantation from her spouse. The patient had a renal rupture on ninth day of surgery. She was re-explored and the rupture was repaired using 2-0 vicryl mattress sutures over surgicell. Her graft recovered completely by day 3 after the repair. However she had pulmonary embolism a day prior to discharge and she succumbed with a functioning graft.
Source: Indian Journal of Transplantation - Category: Transplant Surgery Source Type: research