Intestinal perforation after cadaveric renal transplantation.
We performed cadaveric renal transplantation on a 46-year-old man on long-term hemodialysis. Methicillin-resistant Staphylococcus aureus (MRSA) enterocolitis occurred on the fifth postoperative day and severe intestinal ulceration and perforation followed. Subtotal abdominal colectomy and the simultaneous removal of the transplant were performed. Postoperatively, disseminated intravascular coagulopathy with pancytopenia and cerebral hemorrhagic infarction developed and the patient died 40 days later.
Nomura
Takeo
T
Department of Oncological Science (Urology), Oita University Faculty of Medicine, 1-1 Idaigaoka, Hasama-machi, Oita 879-5593, Japan. TAKE@med.oita-u.ac.jp
Tasaki
Yoshihisa
Y
Hirata
Yuji
Y
Emoto
Akio
A
Yamasaki
Mutsushi
M
Mimata
Hiromitsu
H
Nomura
Yoshio
Y
D002102:Cadaver; D002432:Cecum / Q000473:pathology; D003082:Colectomy; D004760:Enterocolitis / Q000382:microbiology* / Q000473:pathology; D017809:Fatal Outcome; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D007420:Intestine, Large / Q000473:pathology; D007676:Kidney Failure, Chronic / Q000628:therapy; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D016106:Methicillin Resistance; D008875:Middle Aged; D009392:Nephrectomy; D006435:Renal Dialysis / Q000009:adverse effects; D012086:Reoperation; D013203:Staphylococcal Infections / Q000209:etiology*; D013211:Staphylococcus aureus