Lal A, Singhal M, Ramachandran R, Rathi M, Jha V, Khandelwal N
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Nephrol. 2014 Mar;24(2):124-6. doi: 10.4103/0971-4065.127909.
We report a 44-year-old male, renal allograft recipient of 1-year duration who had two episodes of steroid responsive acute rejection. He presented with graft dysfunction for which a graft biopsy was performed and was suggestive of mixed rejection. At 2 weeks post-biopsy, patient developed severe pain over the graft site with anuria and graft hydronephrosis (HDN). The HDN and anuria intermittently settled with the passage of blood clots per-urethra. Contrast enhanced computerized tomography was suggestive of pseudoaneurysm in the graft kidney. The case was successfully managed with ultrasound guided percutaneous cyanoacrylate glue injection into the pseudoaneurysm.
我们报告一例44岁男性，肾移植受者，移植术后1年，曾发生两次对类固醇有反应的急性排斥反应。他因移植肾功能障碍就诊，为此进行了移植肾活检，提示混合性排斥反应。活检后2周，患者移植部位出现剧痛，伴有无尿和移植肾积水（HDN）。HDN和无尿症状随着尿道排出血凝块而间歇性缓解。增强计算机断层扫描提示移植肾假性动脉瘤。该病例通过超声引导下经皮向假性动脉瘤内注射氰基丙烯酸酯胶成功治疗。
