Perfused nonfunctioning renal allograft: Case report and review of the literature

Saudi J Kidney Dis Transpl. 2018 Jan-Feb;29(1):173-177. doi: 10.4103/1319-2442.225204.

Abstract

We report a case of very early postoperative iatrogenic dissection of common iliac artery (CIA), external iliac artery (EIA) causing acute ischemia of the right lower limb, and impairing the perfusion of a renal allograft. This was managed successfully by graft nephrectomy and interposition polytetrafluoroethylene grafting of the CIA and EIA with re-implantation of the kidney allograft and restoration of its perfusion and function, together with restoration of the lower limb circulation.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation / instrumentation
  • Humans
  • Iatrogenic Disease*
  • Iliac Artery / diagnostic imaging
  • Iliac Artery / injuries*
  • Iliac Artery / physiopathology
  • Iliac Artery / surgery
  • Kidney Failure, Chronic / diagnosis
  • Kidney Failure, Chronic / surgery*
  • Kidney Transplantation / adverse effects*
  • Male
  • Middle Aged
  • Nephrectomy
  • Polytetrafluoroethylene
  • Prosthesis Design
  • Recovery of Function
  • Regional Blood Flow
  • Renal Circulation
  • Replantation
  • Treatment Outcome
  • Vascular System Injuries / diagnostic imaging
  • Vascular System Injuries / etiology*
  • Vascular System Injuries / physiopathology
  • Vascular System Injuries / surgery

Substances

  • Polytetrafluoroethylene