Bowel perforation--a fatal complication following renal transplantation: a report of two cases.
From May 1983 to January 1993, 162 patients received renal transplantation at Taichung Veterans General Hospital. Two patients developed bowel perforation after this surgery. One was proved at 21 days and another, at 13 days after renal transplantation. Both patients died as a direct result of the perforation. From a review of literature, the average incidence is 2.7%, and the average mortality rate is 56.5%. Because of this high mortality rate, a high clinical suspicion, prompt and adequate surgical intervention, reduction of immunosuppressive agents and effective antibiotic coverage should contribute to a decline in mortality.
Department of Surgery, Taichung Veterans General Hospital, Taiwan, R.O.C.
H S
HS
Lin
C R
CR
Yang
C H
CH
Chang
C L
CL
Chang
H C
HC
Wu
H C
HC
Ho
D000328:Adult; D017809:Fatal Outcome; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged