McFadden Jacob D, Hawksworth Jason S
Department of Transplant Surgery and Department of Urology, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD, USA.
Case Rep Urol. 2018 Apr 24;2018:8768549. doi: 10.1155/2018/8768549. eCollection 2018.
Page kidney, a rare phenomenon whereby external compression of renal parenchyma can induce hypertension, can be caused by subcapsular hematoma following renal transplant biopsy. Surgical intervention is often warranted to salvage the transplant kidney. This is a case report of a patient with acute T-cell-mediated rejection and no other risk factors for postprocedural bleeding that developed Page kidney. The patient had no signs or symptoms for >24 hours from the time of biopsy, underscoring the need for awareness of this rare but potentially catastrophic complication of renal transplant biopsies.
佩奇肾是一种罕见现象,即肾实质的外部压迫可诱发高血压,它可由肾移植活检后的包膜下血肿引起。通常需要进行手术干预以挽救移植肾。本文报告一例发生佩奇肾的患者,该患者患有急性T细胞介导的排斥反应,且无其他术后出血风险因素。自活检后24小时以上,患者无任何体征或症状,这突出表明需要认识到肾移植活检这种罕见但可能具有灾难性的并发症。