Tsai Shang-Feng, Chen Cheng-Hsu, Hsieh Shih-Rong, Shu Kuo-Hsiung, Ho Hao-Chung
Exp Clin Transplant. 2013 Jun;11(3):274-7. doi: 10.6002/ect.2012.0152.
Renal transplant is the preferred treatment for patients with uremia. The renal transplant procedure is well established with a high success rate, but surgical complications are encountered occasionally. We report a case of sudden onset of anuria of the graft kidney owing to acute external iliac artery dissection diagnosed by Doppler sonography. Urgent endarterectomy with thrombus removal of false lumen prevented ischemia and occlusion of the right femoral artery. Without accurate diagnosis and management, this complication could have caused graft loss and death. We believe that renal transplant requires attentive teamwork to keep the graft functioning well.
肾移植是尿毒症患者的首选治疗方法。肾移植手术已成熟，成功率高，但偶尔会遇到手术并发症。我们报告一例因急性髂外动脉夹层导致移植肾突然无尿的病例，该病例通过多普勒超声诊断。紧急行动脉内膜切除术并清除假腔内血栓，预防了右股动脉缺血和闭塞。若没有准确的诊断和处理，这种并发症可能导致移植肾丢失和患者死亡。我们认为肾移植需要团队密切协作以确保移植肾良好运作。
