تقرير
Masked acute rejection of the graft kidney under the recovery of native kidneys in a patient who underwent simultaneous liver and kidney transplantation.
| العنوان: | Masked acute rejection of the graft kidney under the recovery of native kidneys in a patient who underwent simultaneous liver and kidney transplantation. |
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| المؤلفون: | Hattahara K; Department of Department of Urology Kyoto University Graduate School of Medicine Kyoto Japan., Sawada A; Department of Department of Urology Kyoto University Graduate School of Medicine Kyoto Japan., Sakai K; Department of Nephrology Kyoto University Graduate School of Medicine Kyoto Japan., Teramoto Y; Department of Diagnostic Pathology Kyoto University Graduate School of Medicine Kyoto Japan., Nakamoto Y; Department of Diagnostic Imaging and Nuclear Medicine Kyoto University Graduate School of Medicine Kyoto Japan., Okajima H; Department of Hepato-Biliary-Pancreatic Surgery and Transplantation Kyoto University Graduate School of Medicine Kyoto Japan., Yamasaki T; Department of Department of Urology Kyoto University Graduate School of Medicine Kyoto Japan., Inoue T; Department of Department of Urology Kyoto University Graduate School of Medicine Kyoto Japan., Ogawa O; Department of Department of Urology Kyoto University Graduate School of Medicine Kyoto Japan., Kobayashi T; Department of Department of Urology Kyoto University Graduate School of Medicine Kyoto Japan. |
| المصدر: | IJU case reports [IJU Case Rep] 2020 Aug 18; Vol. 3 (6), pp. 237-240. Date of Electronic Publication: 2020 Aug 18 (Print Publication: 2020). |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: John Wiley & Sons Australia, Ltd Country of Publication: Australia NLM ID: 101764958 Publication Model: eCollection Cited Medium: Internet ISSN: 2577-171X (Electronic) Linking ISSN: 2577171X NLM ISO Abbreviation: IJU Case Rep Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Milton, QLD : John Wiley & Sons Australia, Ltd., [2018]- |
| مستخلص: | Introduction: Simultaneous liver and kidney transplantation is a life-saving procedure for patients with liver failure and irreversible renal dysfunction. However, some studies have reported the recovery of native renal function after simultaneous liver and kidney transplantation. Case Presentation: A 33-year-old woman initially underwent living-donor liver transplantation for liver failure. When graft liver failure developed, she also sustained acute renal failure and required continuous hemodiafiltration for 6 weeks. Simultaneous liver and kidney transplantation from a brain-dead donor recovered her liver and renal function. A 1-year protocol graft kidney biopsy revealed acute cellular rejection despite stable serum creatinine levels. Renal scintigraphy showed functional native kidneys masking acute rejection of the graft kidney. The rejection was improved by pulse steroid therapy. Conclusion: Acute rejection of the graft kidney may silently progress due to recovery of the native kidney function after simultaneous liver and kidney transplantation. Renal scintigraphy and graft kidney biopsy should be considered even if blood tests indicate stable total renal function. Competing Interests: The authors declare no conflict of interest. (© 2020 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Urological Association.) |
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| فهرسة مساهمة: | Keywords: protocol biopsy; simultaneous liver and kidney transplantation |
| تواريخ الأحداث: | Date Created: 20201109 Latest Revision: 20240330 |
| رمز التحديث: | 20240330 |
| مُعرف محوري في PubMed: | PMC7609179 |
| DOI: | 10.1002/iju5.12197 |
| PMID: | 33163913 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2577-171X |
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| DOI: | 10.1002/iju5.12197 |