Acute page kidney complicating kidney transplant artery stenting: presentation of a case and novel management.
We present a rare complication of transplant renal artery stenting in a patient who developed subcapsular hematoma and presented as acute page kidney. We discuss possible mechanisms and successful novel management using radiological-assisted decompression. We propose considering this alternative option before proceeding with surgical exploration and renal capsulotomy.
Department of Renal Medicine and Transplantation, St George's Hospital, London, United Kingdom. imacphee@sgul.ac.uk.
Alireza
A
Hamidian Jahromi
Jiri
J
Fronek
Nicos
N
Kessaris
Gareth
G
Bydawell
Uday
U
Patel
Iain A M
IA
MacPhee
D000208:Acute Disease; D001783:Blood Flow Velocity / Q000502:physiology; D003404:Creatinine / Q000097:blood; D019299:Decompression, Surgical / Q000379:methods*; D006406:Hematoma / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007668:Kidney / Q000098:blood supply / Q000293:injuries; D007674:Kidney Diseases / Q000209:etiology* / Q000601:surgery; D007676:Kidney Failure, Chronic / Q000601:surgery; D016030:Kidney Transplantation / Q000009:adverse effects; D008297:Male; D012078:Renal Artery Obstruction / Q000601:surgery*; D015607:Stents / Q000009:adverse effects*; D055815:Young Adult
D003404:Creatinine