移植后肾静脉血栓形成，成功进行血栓切除术及文献综述
Post transplant renal vein thrombosis, with successful thrombectomy and review of the literature.
作者信息
Lerman Mark, Mulloy Matthew, Gooden Christie, Khan Salman, Khalil Ali, Patel Lincoln, Zhou Xin J
机构信息
Transplant Services at Medical City Dallas Hospital, Dallas, TX, United States.
Transplant Services at Medical City Dallas Hospital, Dallas, TX, United States.
出版信息
Int J Surg Case Rep. 2019;61:291-293. doi: 10.1016/j.ijscr.2019.07.066. Epub 2019 Jul 31.
INTRODUCTION
Renal vein thrombosis post kidney transplant is a rare but graft threatening event. RVT is reported in 0.3-4.2% of kidney transplants. When occurring early post transplant, prior to development of collateral venous outflow, may be catastrophic with loss of the allograft or even death. Anatomic abnormalities or technical problems during surgery are common causes. Early diagnosis and urgent treatment are necessary but often unsuccessful.
PRESENTATION OF CASE
We report a patient with residual function in a failing allograft who developed RVT in a living donor preemptive kidney transplant.
DISCUSSION
We review the literature regarding renal vein thrombosis following kidney transplant.
CONCLUSION
Prompt diagnosis and immediate surgicathrombectomy after ex-planting allograft with subsequent re-implanting the allograft was successful.
引言
肾移植术后肾静脉血栓形成是一种罕见但危及移植肾的事件。肾移植中肾静脉血栓形成的报告发生率为0.3%-4.2%。移植后早期，在侧支静脉流出道形成之前发生时，可能会导致灾难性后果，出现移植肾丧失甚至死亡。手术中的解剖异常或技术问题是常见原因。早期诊断和紧急治疗是必要的，但往往不成功。
病例介绍
我们报告一例在活体供体优先肾移植中出现肾静脉血栓形成的患者，其移植肾功能衰竭但仍有残余功能。
讨论
我们回顾了关于肾移植后肾静脉血栓形成的文献。
结论
在切除移植肾后立即进行手术取栓，随后重新植入移植肾，诊断迅速且手术成功。
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