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Successful Salvage of a Renal Allograft Where an Infected Lymphocele Caused Pressure-Related Extensive Venous Thrombosis: A Case Report


Di Natale, Samuela; Rössler, Fabian; Oulare, Fode Bangaly; de Rougemont, Olivier (2021). Successful Salvage of a Renal Allograft Where an Infected Lymphocele Caused Pressure-Related Extensive Venous Thrombosis: A Case Report. International journal of clinical studies and medical case reports, 13(2):1-3.

Abstract

Venous Allograft Thrombosis (VAT) is the leading non-immunological cause for early graft loss after kidney transplantation (KT), with a reported prevalence up to 4.2% [1]. VAT usually has a devastating effect, notoriously difficult to treat and ultimately leading to graft loss in most cases. In contrast, post-transplant lymphocele is a frequent complication after KT, with a reported prevalence up to 33.9% [2]. However, lymphocele related pressure-induced VAT has not been reported previously. Endovascular Therapy (ET) is to date considered first-line therapy for arterial complications after KT. However, its role for VAT is still unclear and reports are lacking.

We present a case of an extended kidney VAT, caused by compression of a large lymphocele and rescued with non-surgical treatment.

Abstract

Venous Allograft Thrombosis (VAT) is the leading non-immunological cause for early graft loss after kidney transplantation (KT), with a reported prevalence up to 4.2% [1]. VAT usually has a devastating effect, notoriously difficult to treat and ultimately leading to graft loss in most cases. In contrast, post-transplant lymphocele is a frequent complication after KT, with a reported prevalence up to 33.9% [2]. However, lymphocele related pressure-induced VAT has not been reported previously. Endovascular Therapy (ET) is to date considered first-line therapy for arterial complications after KT. However, its role for VAT is still unclear and reports are lacking.

We present a case of an extended kidney VAT, caused by compression of a large lymphocele and rescued with non-surgical treatment.

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Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Visceral and Transplantation Surgery
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:23 September 2021
Deposited On:15 Feb 2022 08:02
Last Modified:15 Feb 2022 08:03
Publisher:IJCMCR
ISSN:2692-5877
OA Status:Green
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.46998/ijcmcr.2021.13.000310
  • Content: Published Version
  • Licence: Creative Commons: Attribution 4.0 International (CC BY 4.0)