Acute Page Kidney Complicating Kidney Transplant Artery Stenting: Presentation of a Case and Novel Management

Authors

  • Alireza Hamidian Jahromi Department of Renal Medicine and Transplantation, St George's Hospital, London, United Kingdom and Department of Surgery, Louisiana State Unieversity Health Sciences Center-Shreveport, Los Angeles, United States
  • Jiri Fronek Department of Renal Medicine and Transplantation, St George's Hospital, London, United Kingdom and Institute for Clinical and Experimental Medicine and 2nd Medical Faculty, Charles University, Prague, Czech Republic
  • Nicos Kessaris Department of Renal Medicine and Transplantation, St George's Hospital, London, United Kingdom
  • Gareth Bydawell Department of Radiology, St George's Healthcare NHS Trust, London, United Kingdom
  • Uday Patel Department of Radiology, St George's Healthcare NHS Trust, London, United Kingdom
  • Iain A M MacPhee Department of Renal Medicine and Transplantation, St George's Hospital, London, United Kingdom

Abstract

We present a rare complication of transplant renal artery stenting in a patient who developed subcapsular hematoma and presented as acute page kidney. We discuss possible mechanisms and successful novel management using radiological-assisted decompression. We propose considering this alternative option before proceeding with surgical exploration and renal capsulotomy.

Author Biographies

  • Alireza Hamidian Jahromi, Department of Renal Medicine and Transplantation, St George's Hospital, London, United Kingdom and Department of Surgery, Louisiana State Unieversity Health Sciences Center-Shreveport, Los Angeles, United States
    Department of Surgery
  • Jiri Fronek, Department of Renal Medicine and Transplantation, St George's Hospital, London, United Kingdom and Institute for Clinical and Experimental Medicine and 2nd Medical Faculty, Charles University, Prague, Czech Republic

    Department of Renal Medicine and Transplantation

  • Nicos Kessaris, Department of Renal Medicine and Transplantation, St George's Hospital, London, United Kingdom

    Department of Renal Medicine and Transplantation

  • Gareth Bydawell, Department of Radiology, St George's Healthcare NHS Trust, London, United Kingdom
    Department of Radiology
  • Uday Patel, Department of Radiology, St George's Healthcare NHS Trust, London, United Kingdom
    Department of Radiology
  • Iain A M MacPhee, Department of Renal Medicine and Transplantation, St George's Hospital, London, United Kingdom

    Department of Renal Medicine and Transplantation

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Published

2013-09-26

Issue

Section

SPECIAL REPORT | Transplantation