دورية أكاديمية
أعرض في EDS

Kidney Transplant Loss Due to May-Thurner Syndrome: Case Report and Review of the Literature.

التفاصيل البيبلوغرافية
العنوان: Kidney Transplant Loss Due to May-Thurner Syndrome: Case Report and Review of the Literature.
المؤلفون: Konopa J; Department of Nephrology, Transplantology and Internal Diseases, Medical University of Gdansk, Poland. Electronic address: jkonopa@gumed.edu.pl., Komorowska-Jagielska K; Department of Nephrology, Transplantology and Internal Diseases, Medical University of Gdansk, Poland., Łaski D; Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk, Poland., Chamienia A; Department of Nephrology, Transplantology and Internal Diseases, Medical University of Gdansk, Poland., Budyńko Ł; Department of Radiology, Medical University of Gdansk, Poland., Dębska-Ślizień A; Department of Nephrology, Transplantology and Internal Diseases, Medical University of Gdansk, Poland.
المصدر: Transplantation proceedings [Transplant Proc] 2024 May; Vol. 56 (4), pp. 972-975. Date of Electronic Publication: 2024 May 11.
نوع المنشور: Case Reports; Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Elsevier Science Inc Country of Publication: United States NLM ID: 0243532 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-2623 (Electronic) Linking ISSN: 00411345 NLM ISO Abbreviation: Transplant Proc Subsets: MEDLINE
أسماء مطبوعة: Publication: New York, N.Y. : Elsevier Science Inc.
Original Publication: New York Stratton.
مواضيع طبية MeSH: Kidney Transplantation*/adverse effects , May-Thurner Syndrome*/surgery , May-Thurner Syndrome*/complications, Humans ; Middle Aged ; Male
مستخلص: Background: May-Thurner syndrome (MTS) is an extrinsic venous compression by the arterial system against bony structures in the iliocaval territory. The most common variant of MTS is due to compression of the left iliac vein between the overlying right common iliac artery and the fifth lumbar vertebrae. The prevalence of MTS is unknown; therefore, there are only a few publications about MTS in kidney transplant recipients. Risk factors that may progress from usually asymptomatic to symptomatic MTS are female sex, scoliosis, dehydration, coagulation disorders, and radiation. Clinical presentations include acute extremity pain and swelling, venous claudication, and chronic signs of venous insufficiency.
Methods: We describe a 63-year-old man who underwent kidney transplantation (left iliac fossa). Four days after transplantation, a graftectomy was done due to graft rupture caused by renal vein thrombosis. After imaging studies, a diagnosis of MTS was established. The patient had no typical symptoms of MTS. However, an incidence of right lower limb thrombosis was observed, and due to vertebral discopathy, the patient underwent surgery with implantation of a vertebral implant.
Result: After a successful second transplantation on the right side, incidents of thrombosis were observed: superficial thrombosis of the upper limbs and massive deep vein thrombosis of the right lower limb. Thrombophilia was recognized, the graft function is stable, and anticoagulation therapy is being continued.
Conclusion: Asymptomatic MTS in the case of coincidence of other risk factors, such as coagulation disorders, history of vertebral operation, and additional pressure of the graft, can result in graft failure.
Competing Interests: Declaration of competing interest All the authors declare no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
تواريخ الأحداث: Date Created: 20240511 Date Completed: 20240616 Latest Revision: 20240617
رمز التحديث: 20240618
DOI: 10.1016/j.transproceed.2024.04.006
PMID: 38734519
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-2623
DOI:10.1016/j.transproceed.2024.04.006