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Intestinal perforation after cadaveric renal transplantation
Author(s) -
NOMURA TAKEO,
TASAKI YOSHIHISA,
HIRATA YUJI,
EMOTO AKIO,
YAMASAKI MUTSUSHI,
MIMATA HIROMITSU,
NOMURA YOSHIO
Publication year - 2004
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2004.00884.x
Subject(s) - medicine , cadaveric spasm , transplantation , perforation , kidney transplantation , surgery , materials science , punching , metallurgy
We performed cadaveric renal transplantation on a 46‐year‐old man on long‐term hemodialysis. Methicillin‐resistant Staphylococcus aureus (MRSA) enterocolitis occurred on the fifth postoperative day and severe intestinal ulceration and perforation followed. Subtotal abdominal colectomy and the simultaneous removal of the transplant were performed. Postoperatively, disseminated intravascular coagulopathy with pancytopenia and cerebral hemorrhagic infarction developed and the patient died 40 days later.