Macroscopic hematuria in a kidney transplant recipient: a rare cause.
Pseudoaneurysm formation in a renal transplant is an uncommon complication of such interventional procedures as percutaneous nephrostomy or renal biopsy; symptoms may be delayed for days or even years. Presentation may vary from incidental discovery to worsening renal insufficiency to life-threatening hemorrhage. We report a case of macroscopic hematuria from a pseudoaneurysm that developed in a kidney transplant recipient after placement of a percutaneous nephrostomy tube. This patient was treated with transcatheter embolization, which is highly effective. A high index of suspicion, along with early diagnosis and transcatheter embolization, are essential for the management of hematuria caused by pseudoaneurysm formation from percutaneous nephrostomy tube placement.
Ladinsky
Glenn A
GA
Division of Renal, Electrolytes and Hypertension, University of Pennsylvania School of Medicine, Philadelphia, PA 19104-0812, USA. ladinskg@uphs.upenn.edu
Goral
Simin
S
D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004621:Embolization, Therapeutic; D006084:Graft Rejection / Q000601:surgery; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery / Q000628:therapy; D016030:Kidney Transplantation; D007683:Kidney Tubular Necrosis, Acute / Q000150:complications; D008297:Male; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D012077:Renal Artery / Q000293:injuries*; D006435:Renal Dialysis; D012086:Reoperation; D015607:Stents; D014517:Ureteral Obstruction / Q000601:surgery; D014547:Urinary Diversion