Crossed bypass femoro-femoralis in patient with external iliac artery occlusion in the course of septic hemorrhage after renal graft explantatation.
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.
Sieńko
Jerzy
J
Department of General Surgery and Transplantation, Pomeranian Medical University, Szczecin, Poland.
Tejchman
Karol
K
Cnotliwy
Miłosław
M
Falkowski
Aleksander
A
Nowacki
Maciej
M
Ostrowski
Marek
M
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*