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Nephrology Dialysis Transplantation 2005 20(4):830-833; doi:10.1093/ndt/gfh586
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© The Author [2005]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org

Teaching Point
(Section Editor: K. Kühn)

Supported by an educational grant from {genzyme}

Papillary necrosis following segmental renal infarction: an unusual cause of early renal allograft dysfunction

Estelle Desport1, Frank Bridoux1,*, Ramzi Abou Ayache1, Antoine Thierry1, Simohamed Belmouaz1, Jacques Irani2, Jean Michel Goujon3,*, Marc Bauwens1 and Guy Touchard1,*

*Inserm ERM 324, Poiters 1 Department of Nephrology, 2 Urology, and 3 Pathology, Serm Elm 324, Poiters, Chu Poitiers, France

Correspondence and offprint requests to: Dr Frank Bridoux, CHU Poitiers, Nephrology, Poitiers, France. Email: f.bridoux@chu-poitiers.fr

Keywords: acute renal failure; hydronephrosis; kidney transplantation; renal infarction; renal papillary necrosis

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   Case
 
A 29-year-old man with end-stage renal failure secondary to autosomal dominant polycystic kidney disease underwent preemptive cadaveric renal transplantation from a 21-year-old male donor. His past medical history was unremarkable, except for mild hypertension controlled with a combination of atenolol and nifedipine, but with no history of diabetes mellitus, urinary tract infection or analgesic abuse. Cold ischaemia time was 14 h and re-warm time was 58 min. The renal graft had two arteries which were each sewn to the external iliac artery in a end-to-side fashion. The surgical procedure was complicated by an 800 ml haemorrhage with transient systemic haemodynamic collapse, immediately after arterial declampage, due . . . [Full Text of this Article]



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