Successful Endovascular Management of Juxta Internal Iliac Vessel Pseudoaneurysm with Allograft Preservation in Post-Renal Transplant.
Vascular complications in renal transplant surgery are extremely uncommon. The complications include
renal artery stenosis, renal artery thrombosis, renal vein thrombosis, aneurysm formation, etc. Of
this, the renal artery and vein stenosis and thrombosis are more common with an overall incidence of 3-14%, whereas,
pseudoaneurysm formation accounts for less than 1% of all vascular complications.
A 54-year woman, with a known case of chronic kidney disease with
hypertension, who was on maintenance hemodialysis of three times per week,
underwent a cadaveric donor kidney transplant
at our institute on October 13, 2022.
The post-operative course was uneventful. She was anuric before the transplant, but
had excellent allograft function in the post-operative period, with adequate urine
output and normalization of serum creatinine levels.
In the subsequent months, the patient was on regular follow-up with
good compliance to the prescribed immunosuppresive
regimen. Six months after the transplant, on post-operative day #159, the patient
developed fever and malaise. She was treated with antibiotics and the fever subsided
over a period of time, only to recur at a later date.
The patient was thoroughly evaluated. Her c-reactive protein levels were
elevated along with her total leucocyte count. Her urine culture was positive for
Klebsiella pneumoniae which was sensitive to colistin and tigecycline.
She was treated with culture-specific antibiotics and she had normalization
of her body temperature for a few days. She subsequently had an
exacerbation of her fever with a temperature of 101 F.
Nephrol Open J. 2023; 7(1): 4-7. doi: 10.17140/NPOJ-7-127
