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肾移植活检后包膜下血肿导致的急性肾衰竭:两例报告及文献复习

Acute Renal Failure in Kidney Transplantation Due to Subcapsular Hematoma After a Renal Allograft Biopsy: Report of Two Cases and Literature Review.

作者信息

Naranjo Javier, Villanego Florentino, Cazorla Juan Manuel, León Cristina, Ledo María José, García Ana, García Teresa, Ceballos Manuel, Mazuecos Auxiliadora

机构信息

Department of Nephrology, Hospital Universitario Puerta del Mar, Cádiz, Spain.

Department of Nephrology, Hospital Universitario Puerta del Mar, Cádiz, Spain.

出版信息

Transplant Proc. 2020 Mar;52(2):530-533. doi: 10.1016/j.transproceed.2019.09.018. Epub 2020 Feb 5.

Abstract

The compression of the renal parenchyma due to a subcapsular hematoma, also known as the "Page kidney," is a potentially serious but treatable complication of renal biopsy. Hypertension is very common and, in some cases, renal failure may be present. In kidney transplantation, it is a not well-described entity. Rapid intervention is essential to avoid irreversible damage of the graft and preserve its function. We report 2 cases of acute renal failure due to Page kidney in patients with renal transplant after a percutaneous biopsy with successful recovery after surgical treatment. In addition, we conducted a literature review in order to describe the clinical characteristics of this infrequent complication in patients with a history of renal transplant.

摘要

肾包膜下血肿对肾实质的压迫,也称为“佩奇肾”,是肾活检一种潜在严重但可治疗的并发症。高血压非常常见,在某些情况下,可能会出现肾衰竭。在肾移植中,这是一个描述不多的实体。快速干预对于避免移植物不可逆转的损害并保留其功能至关重要。我们报告了2例肾移植患者经皮活检后因佩奇肾导致急性肾衰竭的病例,手术治疗后成功康复。此外,我们进行了文献综述,以描述有肾移植病史患者中这种罕见并发症的临床特征。

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