A new proposal of surgical suture in case of spontaneous renal allograft rupture

Q. Lai, V. Rizza, L. Di Clemente, S. Iesari, M. Bellobono, Z. Bianchi, K. Clemente, A. Famulari, F. Pisani

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction Spontaneous kidney allograft rupture (KAR) is a rare but potentially life-threatening complication after kidney transplantation. It is associated with a high risk of graft loss and patient death. We report a new technique of surgical repair in case of KAR.

Case Report A 53-year-old man transplanted due to diabetic nephropathy-related end-stage renal disease experienced a spontaneous KAR 10 days after KT. Immediate laparotomy revealed the presence of a 4-cm linear kidney fracture. Dexon 2-0 wires were used for the suture, stopping each wire with Hem-o-Loks on a cylinder of oxidized cellulose gauze, with the intent of avoiding the risk of tissue fracture caused by the suture itself. Bleeding was thus controlled. The patient experienced an uneventful course and was discharged on postoperative day 26.

Conclusions According to the recent literature, graft nephrectomy for KAR is no longer considered the standard surgical treatment. A new approach to rupture repair has been proposed, providing good rates of graft and patient survival.

Original languageEnglish
Pages (from-to)2207-2208
Number of pages2
JournalTransplantation Proceedings
Volume46
Issue number7
DOIs
Publication statusPublished - Sep 1 2014

ASJC Scopus subject areas

  • Surgery
  • Transplantation
  • Medicine(all)

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