Duarsa Gede Wirya Kusuma, Gede Oka Anak Agung, Santosa Kadek Budi, Yudiana I Wayan, Tirtayasa Pande Wisnu, Kloping Yudhistira Pradnyan
Department of Urology, Sanglah General Hospital, Faculty of Medical and Health Sciences of Udayana University, Denpasar, Bali, Indonesia.
Medical Faculty of Airlangga University, Surabaya, East Java, Indonesia.
Urol Case Rep. 2019 Apr 11;25:100890. doi: 10.1016/j.eucr.2019.100890. eCollection 2019 Jul.
A 31-year-old male was diagnosed with Stage V Chronic Kidney Disease and treated with Continuous Ambulatory Peritoneal Dialysis (CAPD) for five years before agreeing to a renal transplantation. Prior to the procedure he suffered from lymphadenopathy due to peritonitis. This complication became an obstacle as it prevented vascular access to the iliac artery and vein. An extensive lymphadenectomy had to be performed before continuing with the procedure. Nevertheless, the procedure was carried out successfully. Iliac lymphadenopathy as a result of peritonitis due to CAPD could become a challenge during renal transplantation if it hindered vascular access during anastomosis.
一名31岁男性被诊断为Ⅴ期慢性肾脏病，在同意接受肾移植前，接受持续非卧床腹膜透析（CAPD）治疗了5年。在手术前，他因腹膜炎出现淋巴结病。这种并发症成为了一个障碍，因为它阻碍了对髂动脉和静脉的血管通路。在继续手术之前，必须进行广泛的淋巴结清扫术。尽管如此，手术还是成功进行了。如果CAPD引起的腹膜炎导致的髂淋巴结病在吻合过程中阻碍血管通路，那么在肾移植期间可能会成为一个挑战。
