HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Renal allograft torsion associated with prune-belly syndrome.

Abstract
We report a 26-month-old child diagnosed with prune-belly syndrome and end-stage renal disease who received intraperitoneal implantation of an adult cadaveric renal graft which functioned very well for approximately 6 weeks. The patient then presented with acute renal failure which was proved to be secondary to torsion of the graft, twisting the artery and vein. The ureter was wrapped 360 degrees around the graft. These conditions resulted in loss of the graft and nephrectomy. Ours is the second report of such an occurrence; the first was from a living-related kidney donor. We believe the lack of abdominal wall tone contributes to graft mobility and risk of torsion of the kidney. We recommend that nephropexy be considered in these patients. In addition, the risk of torsion must be at the forefront of the differential diagnosis in a prune-belly renal transplant patient with acute onset of oliguria. Renal sonography with Doppler should be employed as soon as possible so that the graft can be saved.
AuthorsR G Marvin, G A Halff, I Elshihabi
JournalPediatric nephrology (Berlin, Germany) (Pediatr Nephrol) Vol. 9 Issue 1 Pg. 81-2 (Feb 1995) ISSN: 0931-041X [Print] Germany
PMID7742230 (Publication Type: Case Reports, Journal Article)
Topics
  • Acute Kidney Injury (diagnostic imaging, etiology, pathology)
  • Child, Preschool
  • Graft Rejection (physiopathology)
  • Humans
  • Kidney (diagnostic imaging, pathology)
  • Kidney Transplantation (physiology)
  • Male
  • Prune Belly Syndrome (complications, diagnostic imaging)
  • Ultrasonography
  • Ureter (pathology)

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: