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Complete necrosis of graft ureter following renal transplant in a patient with primary antiphospholipid syndrome: A case report

Complete necrosis of the graft ureter is a rare but serious complication following kidney transplant. In a patient with antiphospholipid syndrome, a combination of factors such as arterial thromboembolism, hematoma formation, and surgical collateral damage can cause ischemia of the graft ureter. Pre...

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Detalles Bibliográficos
Autores principales: Fernando, Manoj Hilary, Jayarajah, Umesh, Rubakan, Donald, Fonseka, Ruwan, Goonewardena, Serozsha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6028412/
https://www.ncbi.nlm.nih.gov/pubmed/29988620
http://dx.doi.org/10.1002/ccr3.1620
Descripción
Sumario:Complete necrosis of the graft ureter is a rare but serious complication following kidney transplant. In a patient with antiphospholipid syndrome, a combination of factors such as arterial thromboembolism, hematoma formation, and surgical collateral damage can cause ischemia of the graft ureter. Preoperative optimization of disease activity and coagulation with meticulous preservation of ureteric perfusion may help in prevention.