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International Journal of Organ Transplantation Medicine، جلد ۹، شماره ۱، صفحات ۰-۰
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عنوان انگلیسی Delayed Hemorrhage in Kidney Transplantation: A Life-threatening Condition
چکیده انگلیسی مقاله One of the most catastrophic complications of kidney transplantation is non-traumatic delayed bleeding caused by arterial dissection and pseudoaneurysm, endangering the survival of the graft and the patient. Herein, we discuss the management of this condition in 3 cases. The patients included 2 men, 30 and 47 years old, and a 33-year-old woman, who developed a massive hemorrhage in the second week after kidney transplant. All our patients were diabetic for more than 5 years. Massive hemorrhage occurred in the second week without any trauma or precipitating factor. A combination of antibiotic therapy, surgery and interventional procedures was required and all three transplanted kidneys inevitably had to be removed. Although there were trivial signs of infection, considerable pus and infectious and necrotic tissue were drained during graft nephrectomy. A high index of suspicion is necessary for the timely diagnosis of arterial dissection and aneurysm. Aggressive treatment with arterial drug-eluting stents and surgical drainage are necessary in order to prevent potentially fatal complications.
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نویسندگان مقاله | S Gooran
Urology Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran


| A Javid
Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran


| G Pourmand
Urology Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
نشانی اینترنتی http://www.ijotm.com/ojs/index.php/IJOTM/article/view/445
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کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده Case Report
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