Percutaneous injection of acrylic glue into renal allograft pseudoaneurysm for control of intractable post-biopsy hematuria.
We report a 44-year-old male, renal allograft recipient of 1-year duration who had two episodes of steroid responsive acute rejection. He presented with graft dysfunction for which a graft biopsy was performed and was suggestive of mixed rejection. At 2 weeks post-biopsy, patient developed severe pain over the graft site with anuria and graft hydronephrosis (HDN). The HDN and anuria intermittently settled with the passage of blood clots per-urethra. Contrast enhanced computerized tomography was suggestive of pseudoaneurysm in the graft kidney. The case was successfully managed with ultrasound guided percutaneous cyanoacrylate glue injection into the pseudoaneurysm.
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
A
A
Lal
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
M
M
Singhal
Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
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R
Ramachandran
Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
M
M
Rathi
Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
V
V
Jha
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
N
N
Khandelwal
Allograft biopsy; glue; percutaneous; pseudoaneurysm; rejection; renal transplant