title: Pyelo-ureteral necrosis after renal transplantation.
abstract: Because of the limited chance of receiving a kidney transplant (for several well-known reasons), a lot of desperate dialysis patients procure an unrelated donor kidney transplant against all medical advice. This type of renal paid transplantation is associated with many surgical complications and invasive opportunistic infections that increase the morbidity and mortality in this group of transplant recipients. In this report, we describe a case of a 22-year-old girl with a segmental infarction of the graft lower pole and a complete pyelo-ureteral necrosis as a consequence of some vascular damage, complicated by a pathohistological finding of an invasive candidiasis. Despite the successful surgical pyelovesical anastomosis and the good recovery of the patient and the kidney, long-term prognosis remains poor. The lack of information from the transplanting center regarding both donor and recipient and the associated, unacceptable risks on the graft and patient survival in unrelated, paid transplant recipients reinforce the standpoint that this practice should be abandoned.
authors.affiliation: Department of Nephrology, University Clinical Center, University of Skopje, Vodnjanska 17, 1000 Skopje, Republic of Macedonia. gspas@sonet.com.mk
authors.forename: Goce B
authors.initials: GB
authors.lastname: Spasovski
authors.forename: Jelka
authors.initials: J
authors.lastname: Masin-Spasovska
authors.forename: Sotir
authors.initials: S
authors.lastname: Stavridis
authors.forename: Skender
authors.initials: S
authors.lastname: Saiti
authors.forename: Ljupco
authors.initials: L
authors.lastname: Lekovski
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007238:Infarction / Q000150:complications / Q000000981:diagnostic imaging; D007668:Kidney / Q000098:blood supply / Q000000981:diagnostic imaging; D007682:Kidney Pelvis / Q000473:pathology*; D016030:Kidney Transplantation / Q000009:adverse effects*; D019520:Living Donors; D009336:Necrosis; D011859:Radiography; D014513:Ureter / Q000473:pathology*