Successful renal transplantation in the right iliac fossa 2 years after serious deep venous thrombosis in a patient with systemic lupus erythematosus.
Deep venous thrombosis (DVT) possibly occurs in the perioperative period, and induces serious complications such as a pulmonary embolism. On the other hand, allograft renal vein thrombosis leads to a high incidence of graft loss. We experienced a case in which a serious DVT occurred prior to renal transplantation; however, a successful renal transplantation in the right iliac fossa was performed after 2 years of anticoagulant therapy. It is suggested that the external iliac vein even after suffering from DVT can be anastomosed to an allograft vein successfully, when enough blood fl ow or a lower venous pressure is confirmed. However, one should be aware of the risk factors and the adequate management of thrombosis in renal transplantation because of the serious complications of DVT and the poor prognosis of allograft vein thrombosis.
Tsuchiya
Norihiko
N
Department of Urology, Akita University School of Medicine, Akita, Japan.
Satoh
Shigeru
S
Narita
Shintaro
S
Shimoda
Naotake
N
Matsuura
Shinobu
S
Ohyama
Chikara
C
Sato
Kazunari
K
Kato
Tetsuro
T
Ohtani
Hiroshi
H
Komatsuda
Atsushi
A
Habuchi
Tomonori
T
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use*; D005260:Female; D005268:Femoral Vein; D005500:Follow-Up Studies; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000601:surgery*; D016030:Kidney Transplantation / Q000379:methods*; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008279:Magnetic Resonance Imaging; D013997:Time Factors; D018615:Ultrasonography, Doppler, Color; D020246:Venous Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
D000925:Anticoagulants