Affiliation:
1. Department of Urology Nara Medical University Kashihara Nara Japan
2. Department of Prostate Brachytherapy Nara Medical University Kashihara Nara Japan
Abstract
BackgroundPseudoaneurysm formation sometimes complicates transplant nephrectomy. We report a case of bleeding from a pseudoaneurysm after transplantation nephrectomy that resulted in shock and emergency endovascular treatment.Case presentationA 56‐year‐old man underwent transplant nephrectomy 3 years and 9 months following transplantation for pyelonephritis‐related infection control. On postoperative day 7, he developed sudden pain in the lower abdomen and subsequently went into shock. A pseudoaneurysm at the anastomosis was detected, and urgent endovascular treatment was performed to stem the bleeding.ConclusionVascular complications, including pseudoaneurysms, following transplant nephrectomy can be life‐threatening, and comprehensive awareness is needed in careful postoperative management.
Reference15 articles.
1. Vascular complications of allograft nephrectomy;Eng MM‐P;Eur. J. Vasc. Endovasc. Surg.,2006
2. Transplant nephrectomy after graft failure: is it so risky? Impact on morbidity, mortality and alloimmunization;Chowaniec Y;Int. Urol. Nephrol.,2018
3. External iliac artery pseudoaneurysm complicating renal transplantation;Bracale UM;Interact. Cardiovasc. Thorac. Surg.,2009
4. Management of the failing kidney transplant British transplantation society guidelines.2014[Cited 20 Oct 2023]. Available from URL:https://bts.org.uk/wp‐content/uploads/2016/09/13_BTS_Failing_Graft‐1.pdf.
5. Challenges in the Management of the Patient with a Failing Kidney Graft: A Narrative Review