Salvage after Retroperitoneal Kidney Allograft Torsion
Torsion of a transplanted kidney into the retroperitoneal space is a rare occurrence, with only three other reported cases. Failure after kidney transplantation is caused by surgical, immunological, and infective complications. Torsion is a complication that poses a serious risk of ischemic graft fa...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Transplantation |
| Online Access: | http://dx.doi.org/10.1155/2020/8024598 |
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| _version_ | 1832561386421485568 |
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| author | Justin M. Greco David C. Mulligan Peter S. Yoo |
| author_facet | Justin M. Greco David C. Mulligan Peter S. Yoo |
| author_sort | Justin M. Greco |
| collection | DOAJ |
| description | Torsion of a transplanted kidney into the retroperitoneal space is a rare occurrence, with only three other reported cases. Failure after kidney transplantation is caused by surgical, immunological, and infective complications. Torsion is a complication that poses a serious risk of ischemic graft failure, and, if suspected, sonographic evaluation helps ascertain the diagnosis. Here, we present the case of a 69-year-old transplant recipient whose routine postoperative ultrasound confirmed vessel patency, however subsequently developed clinical signs of renal allograft compromise. Repeat ultrasound showed signs of vascular compromise and the patient was emergently re-explored. Torsion of the renal allograft about its pedicle was encountered and corrected by manual detorsion and nephropexy to the retroperitoneal wall. Clinicians should recognize pedicle torsion as a potential cause of renal allograft failure and the role of nephropexy in its management. |
| format | Article |
| id | doaj-art-cb5cab696dea413a95878ec757bf1df3 |
| institution | Kabale University |
| issn | 2090-6943 2090-6951 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Transplantation |
| spelling | doaj-art-cb5cab696dea413a95878ec757bf1df32025-02-03T01:25:16ZengWileyCase Reports in Transplantation2090-69432090-69512020-01-01202010.1155/2020/80245988024598Salvage after Retroperitoneal Kidney Allograft TorsionJustin M. Greco0David C. Mulligan1Peter S. Yoo2Division of Transplantation, Department of Surgery, Yale University School of Medicine, New Haven, CT, USADivision of Transplantation, Department of Surgery, Yale University School of Medicine, New Haven, CT, USADivision of Transplantation, Department of Surgery, Yale University School of Medicine, New Haven, CT, USATorsion of a transplanted kidney into the retroperitoneal space is a rare occurrence, with only three other reported cases. Failure after kidney transplantation is caused by surgical, immunological, and infective complications. Torsion is a complication that poses a serious risk of ischemic graft failure, and, if suspected, sonographic evaluation helps ascertain the diagnosis. Here, we present the case of a 69-year-old transplant recipient whose routine postoperative ultrasound confirmed vessel patency, however subsequently developed clinical signs of renal allograft compromise. Repeat ultrasound showed signs of vascular compromise and the patient was emergently re-explored. Torsion of the renal allograft about its pedicle was encountered and corrected by manual detorsion and nephropexy to the retroperitoneal wall. Clinicians should recognize pedicle torsion as a potential cause of renal allograft failure and the role of nephropexy in its management.http://dx.doi.org/10.1155/2020/8024598 |
| spellingShingle | Justin M. Greco David C. Mulligan Peter S. Yoo Salvage after Retroperitoneal Kidney Allograft Torsion Case Reports in Transplantation |
| title | Salvage after Retroperitoneal Kidney Allograft Torsion |
| title_full | Salvage after Retroperitoneal Kidney Allograft Torsion |
| title_fullStr | Salvage after Retroperitoneal Kidney Allograft Torsion |
| title_full_unstemmed | Salvage after Retroperitoneal Kidney Allograft Torsion |
| title_short | Salvage after Retroperitoneal Kidney Allograft Torsion |
| title_sort | salvage after retroperitoneal kidney allograft torsion |
| url | http://dx.doi.org/10.1155/2020/8024598 |
| work_keys_str_mv | AT justinmgreco salvageafterretroperitonealkidneyallografttorsion AT davidcmulligan salvageafterretroperitonealkidneyallografttorsion AT petersyoo salvageafterretroperitonealkidneyallografttorsion |