title: Spontaneous renal allograft rupture complicated by urinary leakage: case report and review of the literature.
abstract: BACKGROUND
  For more than forty years, graftectomy has been the standard treatment of spontaneous renal transplant rupture. However, recent evidences suggest that graft salvage strategies can be safely pursued, even in difficult cases.
  
  
  METHODS
  We report on a thirty-nine-year-old woman who received a deceased donor kidney transplant and experienced spontaneous allograft rupture due to acute rejection. The rupture was further complicated by urinary leakage. The kidney and the ureter were successfully repaired. Eight years after transplantation, graft function is still excellent.
  
  
  CONCLUSIONS
  Due to the lack of transplantable organs and the long time usually spent on the waiting list, graftectomy should be only considered in case of refractory haemodynamic instability or compromised graft viability.
authors.affiliation: Transplant Unit, Renal Department, Royal London Hospital, Whitechapel Road, London, E1 1BB, UK. evaldofavi@gmail.com.
authors.forename: Evaldo
authors.initials: E
authors.lastname: Favi
authors.affiliation: General Surgery, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, Via Pompeo Spennati, 67100, L'Aquila, Italy. samuele.iesari@gmail.com.
authors.forename: Samuele
authors.initials: S
authors.lastname: Iesari
authors.affiliation: Department of Bioimaging, Università Cattolica del "Sacro Cuore", Policlinico Universitario "Agostino Gemelli", Largo Agostino Gemelli 8, 00168, Rome, Italy. acina@rm.unicatt.it.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Cina
authors.affiliation: Renal Transplant Unit, Department of Surgery, Università Cattolica del "Sacro Cuore", Policlinico Universitario "Agostino Gemelli", Largo Agostino Gemelli 8, 00168, Rome, Italy. fcitterio@rm.unicatt.it.
authors.forename: Franco
authors.initials: F
authors.lastname: Citterio
mesh_terms: D000328:Adult; D005260:Female; D006084:Graft Rejection / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D019651:Plastic Surgery Procedures / Q000379:methods; D012421:Rupture / Q000209:etiology / Q000601:surgery; D016879:Salvage Therapy / Q000379:methods*; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000209:etiology* / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods