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Renal Allograft Rupture With Iliofemoral Thrombophlebitis
Lt Comdr Mitchell H. Goldman, MC, USNR;
Stephen B. Leapman, MD;
Lt Comdr Richard D. Handy, MC, USN;
Lt Comdr David W. Best, MC, USN
Arch Surg. 1978;113(2):204-205.
Abstract
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• Spontaneous rupture of a renal allograft in the early posttransplant period is associated with tachycardia, hypotension, oliguria, swelling, pain, a falling hematocrit level, and tenderness at the transplant site. Occasionally, the ruptured allograft can be saved by control of the hemorrhage. Deep vein thrombophlebitis, a common occurrence after prolonged surgery and cortocosteroid therapy, is less common in renal allograft transplantation, but may be associated with renal vein thrombosis. The simultaneous occurrence of deep vein thrombophlebitis, renal vein thrombosis, and allograft rupture contraindicates anticoagulent therapy. We present a patient in whom ipsilateral deep vein thrombophlebitis developed eight days after a cadaveric renal allograft, followed in two days by hypotension, a falling hematocrit level, oliguria, and a painfall mass at the allograft site. Surgical exploration revealed a ruptured allograft with iliofemoral and renal vein thrombosis and profuse hemorrhage. A transplant nephrectomy was performed.
(Arch Surg 113:204-205, 1978)
Author Affiliations
From the Clinical and Experimental Immunology Department, Naval Medical Research Institute, Bethesda, Md, the Renal Transplant Section, Indiana University Medical Center and Veterans Administration Hospital, Indianapolis, and the Nephrology Division, Naval Regional Medical Center, Portsmouth, Va.
Footnotes
Accepted for publication June 27, 1977.
The opinions or assertions contained herein are the private ones of the authors and are not to be construed as official or reflecting the views of the US Navy Department or the naval service at large.
Reprint requests to Naval Medical Research Institute, Mail Stop 15, Bethesda, MD 20014 (Dr Goldman).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Should the Ruptured Renal Allograft Be Removed?
Dryburgh et al.
Arch Surg 1979;114:850-852.
ABSTRACT
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