Asgari M A, Masoumi N, Argani H
Urology Department, Shahid Modarres Hospital, Shahid Beheshti Medical University, Saadat Abad, Tehran 1998734383, Iran.
Nephrology Department, Shahid Modarres Hospital, Shahid Beheshti Medical University, Saadat Abad, Tehran 1998734383, Iran.
Case Rep Urol. 2015;2015:976912. doi: 10.1155/2015/976912. Epub 2015 Dec 17.
A 34-year-old diabetic patient underwent a renal transplant which was complicated by right side lower extremity paresis and numbness with gluteal necrosis. The main reason was ligation of internal iliac artery of the same side as a result of extensive microvascular obstruction due to severe atheromatous plaque. This is a rare complication which is mostly reported in aneurysmal patients after bypass surgery. The gluteal necrosis is a serious complication which, as in our patient, resulted in patient's death in most of the reported cases. Because of catastrophic nature of this condition, identifying preventive measures is extremely important.
一名34岁的糖尿病患者接受了肾移植手术，术后出现右侧下肢麻痹、麻木以及臀肌坏死等并发症。主要原因是严重动脉粥样硬化斑块导致广泛微血管阻塞，进而结扎了同侧的髂内动脉。这是一种罕见的并发症，大多在旁路手术后的动脉瘤患者中报道。臀肌坏死是一种严重的并发症，正如我们的患者一样，在大多数报道的病例中都导致了患者死亡。由于这种情况的灾难性本质，确定预防措施极其重要。
