May-Thurner syndrome in a pediatric renal transplant recipient--case report and literature review.
Vascular complications post-renal transplantation are not very common and can be associated with increased risk of graft loss. We report an unusual case of a young, female teenager with asymmetrical leg swelling. After one month of transplantation, the patient developed a rise in serum creatinine with right leg swelling (ipsilateral to transplant) from compression of the iliac vein by a right renal transplant lymphocele, which resolved after lymphocele drainage. Subsequently, left leg swelling (contralateral to transplant) was noticed and the diagnosis of May-Thurner syndrome was made by MRV. The patient was successfully managed with oral Plavix, stockings and leg elevation. The allograft function remained stable at 18 months post-transplant.
Vyas
S
S
Departments of Pediatrics, Pediatric Nephrology and Transplantation, Saint Barnabas Medical Center, Livingston, NJ 07039, USA. svyas@sbhcs.com
Roberti
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I
McCarthy
C
C
D000293:Adolescent; D000077144:Clopidogrel; D003404:Creatinine / Q000097:blood; D004487:Edema; D005260:Female; D006085:Graft Survival; D006801:Humans; D007084:Iliac Vein / Q000378:metabolism; D007674:Kidney Diseases / Q000209:etiology* / Q000628:therapy; D016030:Kidney Transplantation / Q000379:methods*; D008210:Lymphocele / Q000378:metabolism; D053828:Stockings, Compression; D013577:Syndrome; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000209:etiology* / Q000628:therapy
D000077144:Clopidogrel; D003404:Creatinine; D013988:Ticlopidine