Vales-Albertos LJ, Cueto-Manzano AM, Valdespino C, Gómez B

Language: English
References: 5
Page: 78-79
PDF size: 66.55 Kb.

ABSTRACT

Renal graft rupture (RGR) is a life-threatening complication of kidney transplantation (KT), frequently associated with rejection and acute tubular necrosis. RGR repair with the use of suture, and corsetage with various materials (including synthetic glue, polyglactin absorbable hemostatic mesh, and lyophilized human dura), is indicated in non-severe cases. However, the employment of non-absorbable synthetic mesh had not been previously reported. Here, a case of a KT from cadaveric donor with RGR associated with acute rejection is reported. The graft was salvaged with the employment of a non-absorbable polypropylene mesh. Six months after KT, the patient remains asymptomatic with normal renal function. To the best of our knowledge, this is the first report of the use of a non-absorbable polypropylene mesh to repair a RGR. In a setting in which economical restrictions are important, the use of non-absorbable synthetic mesh may represent a good option of treatment.

REFERENCES

1. Hochleitner BW, Kafka R, Spechtenhauser B, Bösmüller C, Steurer W, Königsrainer A, Margreiter R. Renal allograft rupture is associated with rejection or acute tubular necrosis, but not with renal thrombosis. Nephrol Dial Transplant 2001; 16: 124-7.

2. Chan YH, Wong KM, Lee KC, Li CS. Spontaneous renal allograft rupture attributed to acute tubular necrosis. Am J Kidney Dis 1999; 34: 355-8.

3. Finley DS, Roberts JP. Frequent salvage of ruptured renal allografts: a large single center experience. Clin Transplant 2003; 17: 126-9.

4. He B, Rao MM, Han X, Li X, Guan D, Gao J. Surgical repair of spontaneous renal allograft rupture: a new procedure. ANZ J Surg 2003; 73: 381-3.

5. Burger J, Luijendijk R, Hop W, Halm J, Verdaasdonk G, Jeekel J. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 2004; 240: 578-85.