Pyelo-ureteral necrosis after renal transplantation.

International Urology and Nephrology
Goce B SpasovskiLjupco Lekovski

Abstract

Because of the limited chance of receiving a kidney transplant (for several well-known reasons), a lot of desperate dialysis patients procure an unrelated donor kidney transplant against all medical advice. This type of renal paid transplantation is associated with many surgical complications and invasive opportunistic infections that increase the morbidity and mortality in this group of transplant recipients. In this report, we describe a case of a 22-year-old girl with a segmental infarction of the graft lower pole and a complete pyelo-ureteral necrosis as a consequence of some vascular damage, complicated by a pathohistological finding of an invasive candidiasis. Despite the successful surgical pyelovesical anastomosis and the good recovery of the patient and the kidney, long-term prognosis remains poor. The lack of information from the transplanting center regarding both donor and recipient and the associated, unacceptable risks on the graft and patient survival in unrelated, paid transplant recipients reinforce the standpoint that this practice should be abandoned.

References

Apr 26, 2005·Transplantation Proceedings·N IvanovskiK Zafirovska
Oct 11, 2005·Transplantation Proceedings·A M AlkhunaiziJ A Al-Tawfiq

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Citations

Apr 3, 2012·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Goce SpasovskiFrancis Delmonico
Jul 15, 2015·Diagnostic and Interventional Imaging·E K LangH Zinn
Feb 22, 2011·Transplantation Proceedings·M Giessing
Mar 5, 2016·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·F AmbagtsheerW Weimar

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