title: Crossed bypass femoro-femoralis in patient with external iliac artery occlusion in the course of septic hemorrhage after renal graft explantatation.
abstract: Blood vessel complications are one of most important problems in patients after renal transplantation. They influence graft chances and they are also often direct life threat, requiring fast diagnosis and immediate surgical treatment. Described case concern septic hemorrhage in vessel junction region after transplant nephrectomy, reoperated 5 times because of this complication. We discuss occurrence and severity of septic hemorrhages, usual coexisting complications, ways of surgical treatment, course of infections leading to hemorrhage and similar cases reported. As the most frequent surgical techniques we found bypass axillo-femoralis, femoro-femoralis suprapubic and through formanen obturatorius and this kind of treatment as the most effective.
authors.affiliation: Department of General Surgery and Transplantation, Pomeranian Medical University, Szczecin, Poland.
authors.forename: Jerzy
authors.initials: J
authors.lastname: Sieńko
authors.forename: Karol
authors.initials: K
authors.lastname: Tejchman
authors.forename: Miłosław
authors.initials: M
authors.lastname: Cnotliwy
authors.forename: Aleksander
authors.initials: A
authors.lastname: Falkowski
authors.forename: Maciej
authors.initials: M
authors.lastname: Nowacki
authors.forename: Marek
authors.initials: M
authors.lastname: Ostrowski
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D004927:Escherichia coli Infections / Q000209:etiology; D005263:Femoral Artery / Q000473:pathology / Q000601:surgery; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D007083:Iliac Artery / Q000473:pathology / Q000601:surgery; D007674:Kidney Diseases / Q000601:surgery; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects*; D016491:Peripheral Vascular Diseases / Q000209:etiology*; D012077:Renal Artery / Q000473:pathology / Q000601:surgery; D012086:Reoperation; D018805:Sepsis / Q000209:etiology*