Cromie W J, Jordan M H, Leapman S B
J Urol. 1976 Nov;116(5):658-9. doi: 10.1016/s0022-5347(17)58953-3.
A case of renal allograft pseudorejection owing to perinephric hematoma is presented and the Page kidney phenomenon is discussed as the pathophysiologic mechanism. The term pseudorejection is introduced and defined as a remediable form of graft dysfunction resulting from renal parenchymal compression. Sonography was helpful, in addition to the standard diagnostic modalities in making the diagnosis. Early recognition and decompression of a peritransplant hematoma or lymphocele may decrease graft loss from this insidious entity.
本文报告一例因肾周血肿导致的肾移植假性排斥反应病例,并讨论了作为病理生理机制的佩吉氏肾现象。引入了“假性排斥反应”这一术语,并将其定义为由肾实质受压导致的可补救形式的移植物功能障碍。除了标准诊断方法外,超声检查有助于做出诊断。早期识别并解除移植肾周围血肿或淋巴囊肿,可能会减少这种隐匿性疾病导致的移植物丢失。