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Conservative management of an extensive renal graft subcapsular hematoma arising during living donor nephrectomy. Role of Doppler sonographic posttransplant follow‐up
Author(s) -
Salgado Octavio J.,
Vidal Angela M.,
Semprun Prospera,
Garcia Rafael
Publication year - 2009
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.20644
Subject(s) - medicine , surgery , conservative management , nephrectomy , hematoma , complication , doppler sonography , capsulotomy , ultrasound , doppler ultrasound , kidney , renal function , doppler effect , radiology , intraocular lens , physics , astronomy
We report a case of subcapsular hematoma (SH) of a kidney graft arising during minimal‐incision living‐donor nephrectomy. SH covered at least two‐thirds of the cortical surface. Capsulotomy was not done because it was deemed too risky. In the immediate postoperative period, a rapid deterioration of graft function was observed associated with Doppler sonographic evidence of graft compression. However, in the following days, spontaneous resolution of SH and progressive improvement of Doppler findings was observed, which preceded full recovery of graft function. Conservative management seemed a valid approach of this complication in this case where Doppler sonography proved essential for the follow‐up. © 2009 Wiley Periodicals, Inc. J Clin Ultrasound, 2010