Papillary necrosis following segmental renal infarction: an unusual cause of early renal allograft dysfunction. |
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| Authors: | Estelle Desport Frank Bridoux Ramzi Abou Ayache Antoine Thierry Simohamed Belmouaz Jacques Irani Jean Michel Goujon Marc Bauwens Guy Touchard |
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| Affiliation: | Department of Nephrology, Poitiers, CHU Poitiers, France. |
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| Abstract: | ![]()
| Case | A 29-year-old man with end-stage renal failure secondary toautosomal dominant polycystic kidney disease underwent preemptivecadaveric renal transplantation from a 21-year-old male donor.His past medical history was unremarkable, except for mild hypertensioncontrolled with a combination of atenolol and nifedipine, butwith no history of diabetes mellitus, urinary tract infectionor analgesic abuse. Cold ischaemia time was 14 h and re-warmtime was 58 min. The renal graft had two arteries which wereeach sewn to the external iliac artery in a end-to-side fashion.The surgical procedure was complicated by an 800 ml haemorrhagewith transient systemic haemodynamic collapse, immediately afterarterial declampage, due
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| Keywords: | acute renal failure hydronephrosis kidney transplantation renal infarction renal papillary necrosis |
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