Renal Allograft Compartment Syndrome: A Case Report and Review of the Literature

Nasrin El-Bandar; Markus Lerchbaumer; Mandy Hubatsch; Isabel Michaela Lichy; Matthias R G Schulz; Frank Friedersdorff

doi:10.1159/000508799

Renal Allograft Compartment Syndrome: A Case Report and Review of the Literature

Urol Int. 2020;104(7-8):646-650. doi: 10.1159/000508799. Epub 2020 Jul 2.

Authors

Nasrin El-Bandar¹, Markus Lerchbaumer², Mandy Hubatsch¹, Isabel Michaela Lichy¹, Matthias R G Schulz¹, Frank Friedersdorff³

Affiliations

¹ Department of Urology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Germany.
² Department of Radiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Germany.
³ Department of Urology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Germany, Frank.Friedersdorff@charite.de.

PMID: 32615567
DOI: 10.1159/000508799

Abstract

Kidney transplantation is the treatment of choice for patients with ESRD. One rare complication after transplantation is the development of renal allograft compartment syndrome (RACS). We present a case of 1 patient who developed RACS due to compression of the transplant vein, which was then treated by salvaging the kidney transplant using urgent decompression surgery with mesh fascial closure. We postulate that this technique is safe and should be the treatment of choice for patients with RACS.

Keywords: Compartment syndrome; Kidney transplantation; Mesh; Transplant vein compression.

Publication types

Case Reports
Review

MeSH terms

Compartment Syndromes / surgery*
Humans
Kidney Failure, Chronic / surgery*
Kidney Transplantation*
Male
Middle Aged
Postoperative Complications / surgery*