title: Ruptured Hemangioma of a Native Kidney: An Unusual Cause of Postoperative Hemorrhage in Kidney Transplant Recipients.
abstract: BACKGROUND Retroperitoneal bleeding as a consequence of non-traumatic kidney or allograft rupture is well known, but there are no reports on hemorrhagia from a native kidney after allogeneic renal transplantation. Therefore, we present the first such case to be published and highlight the possibility of this complication after renal transplantation. CASE REPORT We report the case of a 28-year-old male patient who developed early post-transplant hemorrhagia from a ruptured native kidney. The patient underwent left-sided nephrectomy. Histopathological examination revealed ruptured hemangioma of the patient's native left kidney. The further postoperative period was not complicated. The patient was discharged on the 18th postoperative day, with good transplant function. CONCLUSIONS Transplantologists should be aware of the fact that in patients with uncontrolled blood pressure, native kidney hemangioma may rupture in the early post-transplant period, and it can be a life-threating and difficult to diagnose complication.
authors.affiliation: Department of Anesthesiology and Intensive Care, Barlicki Teaching Hospital, Łódź, Poland.
authors.forename: Grażyna
authors.initials: G
authors.lastname: Poznańska
authors.affiliation: Department of General and Transplant Surgery, Barlicki Teaching Hospital, Medical University of Łódź, Łódź, Poland.
authors.forename: Michał
authors.initials: M
authors.lastname: Wlazlak
authors.affiliation: Department of General and Transplant Surgery, Barlicki Teaching Hospital, Medical University of Łódź, Łódź, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Hogendorf
authors.affiliation: Department of General and Transplant Surgery, Barlicki Teaching Hospital, Medical University of Łódź, Łódź, Poland.
authors.forename: Dariusz
authors.initials: D
authors.lastname: Szymański
authors.affiliation: Department of General and Transplant Surgery, Barlicki Teaching Hospital, Medical University of Łódź, Łódź, Poland.
authors.forename: Janusz
authors.initials: J
authors.lastname: Strzelczyk
authors.affiliation: Department of General and Transplant Surgery, Barlicki Teaching Hospital, Medical University of Łódź, Łódź, Poland.
authors.forename: Adam
authors.initials: A
authors.lastname: Durczyński
mesh_terms: D000328:Adult; D006391:Hemangioma / Q000150:complications*; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery; D007680:Kidney Neoplasms / Q000150:complications*; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D009395:Nephritis, Interstitial / Q000601:surgery; D011183:Postoperative Complications; D012422:Rupture, Spontaneous / Q000150:complications*; D066027:Transplant Recipients