title: Use of non-absorbable polypropylene mesh for the treatment of spontaneous renal graft rupture.
abstract: Renal graft rupture (RGR) is a life-threatening complication of kidney transplantation (KT), frequently associated with rejection and acute tubular necrosis. RGR repair with the use of suture, and corsetage with various materials (including synthetic glue, polyglactin absorbable hemostatic mesh, and lyophilized human dura), is indicated in non-severe cases. However, the employment of non-absorbable synthetic mesh had not been previously reported. Here, a case of a KT from cadaveric donor with RGR associated with acute rejection is reported. The graft was salvaged with the employment of a non-absorbable polypropylene mesh. Six months after KT, the patient remains asymptomatic with normal renal function. To the best of our knowledge, this is the first report of the use of a non-absorbable polypropylene mesh to repair a RGR. In a setting in which economical restrictions are important, the use of non-absorbable synthetic mesh may represent a good option of treatment.
authors.forename: Luis Jorge
authors.initials: LJ
authors.lastname: Vales-Albertos
authors.forename: Alfonso M
authors.initials: AM
authors.lastname: Cueto-Manzano
authors.forename: Carlos
authors.initials: C
authors.lastname: Valdespino
authors.forename: Benjamin
authors.initials: B
authors.lastname: Gómez
mesh_terms: D000328:Adult; D000961:Antilymphocyte Serum / Q000627:therapeutic use; D005781:Gelatin Sponge, Absorbable; D006084:Graft Rejection / Q000188:drug therapy / Q000517:prevention & control; D006406:Hematoma / Q000209:etiology; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007674:Kidney Diseases / Q000601:surgery*; D007676:Kidney Failure, Chronic / Q000601:surgery; D016030:Kidney Transplantation; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D009173:Mycophenolic Acid / Q000031:analogs & derivatives / Q000627:therapeutic use; D011183:Postoperative Complications / Q000601:surgery*; D019106:Postoperative Hemorrhage / Q000209:etiology; D011241:Prednisone / Q000627:therapeutic use; D012422:Rupture, Spontaneous / Q000601:surgery; D013526:Surgical Mesh; D013601:T-Lymphocytes; D016559:Tacrolimus / Q000627:therapeutic use; D014180:Transplantation / Q000009:adverse effects* / Q000473:pathology
chemical_list: D000961:Antilymphocyte Serum; D007166:Immunosuppressive Agents; D009173:Mycophenolic Acid; D011241:Prednisone; D016559:Tacrolimus; D008775:Methylprednisolone