Open AccessComplete necrosis of graft ureter following renal transplant in a patient with primary antiphospholipid syndrome: A case report
Author(s) -
Fernando Manoj Hilary,
Jayarajah Umesh,
Rubakan Donald,
Fonseka Ruwan,
Goonewardena Serozsha
Publication year - 2018
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.1620
Subject(s) - medicine , antiphospholipid syndrome , ureter , acute tubular necrosis , renal transplant , surgery , necrosis , kidney , urology , transplantation , thrombosis
Key Clinical Message 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.