Said R, Duarte R, Chaballout A, el Boghdadly S, Nezamuddin N, Mattoo T
Department of Medicine, King Fahad National Guard Hospital, Riyadh, Saudi Arabia.
Urology. 1994 Apr;43(4):554-8. doi: 10.1016/0090-4295(94)90256-9.
Spontaneous rupture of a renal allograft was encountered in 3 male patients among 75 consecutive renal transplants over a three-year period. In 1 patient, the transplant was from a living related donor, while the other two were cadaveric kidneys from pediatric donors. In 2 patients, allograft rupture followed steroid-resistant rejection, while in the third with cadaveric kidney transplant, the rupture was associated with renal vein thrombosis. Two patients presented with classic symptoms of renal allograft rupture: sudden onset of severe pain and swelling over the allograft and hypotension, while in the third the rupture was found during exploration of the allograft with clinical diagnosis of renal artery thrombosis. Transplant nephrectomy was done in 2 patients, while successful surgical repair was performed in the third patient with living related transplant.
在三年期间连续进行的75例肾移植中，有3例男性患者发生了同种异体肾移植自发破裂。其中1例患者的移植肾来自活体亲属供体，另外2例是来自小儿供体的尸体肾。2例患者在出现对类固醇耐药的排斥反应后发生了移植肾破裂，而在第3例接受尸体肾移植的患者中，破裂与肾静脉血栓形成有关。2例患者出现了同种异体肾移植破裂的典型症状：移植肾区突然出现剧痛、肿胀和低血压，而第3例患者在因临床诊断为肾动脉血栓形成而对移植肾进行探查时发现了破裂。2例患者进行了移植肾切除术，而第3例接受活体亲属移植的患者则成功进行了手术修复。
