Successful Kidney Transplantation in a Patient with Multiple Perioperative Renal Transplant Complications. Case Report

Author:

Peneva Margarita1,Zjogovska Elizabeta1,Dohchev Sasho2,Stavridis Sotir2,Josifov Aleksandar3,Srceva Marija Jovanovski4,Damevski Anton4,Janchulev Josif2,Spasovska Jelka Masin5,Spasovski Goce5

Affiliation:

1. University Clinic for Plastic and Reconstructive Surgery, Skopje, Macedonia (the former Yugoslav Republic of)

2. University Clinic of Urology, Skopje, Macedonia (the former Yugoslav Republic of)

3. University Clinic for Toracovascular Surgery, Skopje, Macedonia (the former Yugoslav Republic of)

4. Intensive Care Unit, Skopje, Macedonia (the former Yugoslav Republic of)

5. Department of Nephrology, Medical Faculty, University of Skopje, Macedonia (the former Yugoslav Republic of)

Abstract

Abstract Kidney transplantations have become common surgical procedures that are associated with high success rates. Nevertheless, the detection, accurate diagnosis and timely management of the perioperative surgical complications sometimes require multidisciplinary team approach for some of the complications may result in significant morbidity, risk of graft loss and/or mortality of the recipient. A case of a 24-year old male patient that developed a number of different surgical complications is reported. The complications included venous graft thrombosis, urinary fistula, wound infection, wound dehiscence and a completely exteriorized transplanted kidney. Despite the various complications and, accordingly, a couple of revisions, finally the patient was discharged with a regular kidney function.

Publisher

Walter de Gruyter GmbH

Subject

General Medicine

Reference12 articles.

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2. 2. Spasovski, G., Dohcev, S., & Stankov, O. The improvement in kidney transplant program in R. Macedonia – what are the clues? 2013. Prilozi, 34: 9.

3. 3. Spasovski, G., Mojsova-Miovska, M., & Masin-Spasovska, J. The success of South-eastern Europe Health Network (SEEHN) initiative on improvement of the kidney transplant program-facts about Macedonia. Transpl Int. 2014; 27(7): e63–4.

4. 4. Spasovski, G., Busic, M., & Delmonico, F.(in press). The improvement in kidney transplantation in the Balkans after Istanbul Declaration – where do we stand today? Clin Kidney J.

5. 5. Mehrabi, A., Fonouni, H., Wente, M., Sadeghi, M., Eisenbach, C., et al. Wound complications following kidney and liver transplantation. Clin Transplant. 2006; 20(17): 97–110.

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