Ram Reddy Chilumula, Ram Rapur, Swarnalatha Gudithi, Krishna Lanka S R, Prayaga Aruna, Murthy P V L N, Dakshinamurty Kaligotla Venkata
Department of Urology, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad-082, India.
Exp Clin Transplant. 2012 Aug;10(4):398-402. doi: 10.6002/ect.2011.0190.
The incidence of vascular complications after renal transplant as reported varies from 3.5% to 14%. Pseudoaneurysm formation at the site of the anastomosis is a rare complication, and only a few cases have been reported. There also were only a few reports of "true" mycotic aneurysms of the renal allograft artery. We present 2 patients with true mycotic aneurysmal formation of the renal allograft artery after a renal transplant. Both patients presented with fever and increasing serum creatinine levels. Cultures from aneurysm tissue samples have grown Aspergillus flavus. Both patients were subjected to an allograft nephrectomy, and amphotericin was given.
据报道，肾移植后血管并发症的发生率在3.5%至14%之间。吻合口处假性动脉瘤形成是一种罕见的并发症，仅有少数病例报道。肾移植动脉“真性”霉菌性动脉瘤的报道也很少。我们报告2例肾移植后肾移植动脉发生真性霉菌性动脉瘤形成的患者。两名患者均出现发热和血清肌酐水平升高。动脉瘤组织样本培养出黄曲霉菌。两名患者均接受了移植肾切除术，并给予了两性霉素。
