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Deceased donor kidney transplant complicated by spontaneous rupture of native kidney in a HIV patient

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ARTICLE DOWNLOAD

Deceased donor kidney transplant complicated by spontaneous rupture of native kidney in a HIV patient

10$

Stephanie Lombardi, Heather L. Kutzler, Sara Moradi, Bejon Maneckshana, Patricia Sheiner, Caroline Rochon & Oscar K. Serrano 

Abstract

Spontaneous native kidney rupture (SNKR) is a rare occurrence, commonly associated with underlying renal tumors or acquired renal cystic disease in both the kidney transplant (KT) and non-KT populations. Herein, we present a 65-year-old African American man who experienced a non-malignant SNKR 6 days after a deceased donor KT and underwent emergent native nephrectomy. The patient’s hospital course was complicated by thrombocytopenia and refractory hypertension. He experienced delayed graft function and was maintained on hemodialysis until post-operative day 30. This case demonstrates an unusual presentation of SNKR in the immediate post-KT setting and illustrates the clinical decision-making algorithm.

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Year 2020
Language English
Format PDF
DOI 10.1007/s13730-020-00453-1