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Successful renal transplantation in the right iliac fossa 2 years after serious deep venous thrombosis in a patient with systemic lupus erythematosus
Author(s) -
TSUCHIYA NORIHIKO,
SATOH SHIGERU,
NARITA SHINTARO,
SHIMODA NAOTAKE,
MATSUURA SHINOBU,
OHYAMA CHIKARA,
SATO KAZUNARI,
KATO TETSURO,
OHTANI HIROSHI,
KOMATSUDA ATSUSHI,
HABUCHI TOMONORI
Publication year - 2005
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.1442-2042.2005.01175.x
Subject(s) - medicine , venous thrombosis , iliac fossa , transplantation , thrombosis , surgery , kidney transplantation
Deep venous thrombosis (DVT) possibly occurs in the perioperative period, and induces serious complications such as a pulmonary embolism. On the other hand, allograft renal vein thrombosis leads to a high incidence of graft loss. We experienced a case in which a serious DVT occurred prior to renal transplantation; however, a successful renal transplantation in the right iliac fossa was performed after 2 years of anticoagulant therapy. It is suggested that the external iliac vein even after suffering from DVT can be anastomosed to an allograft vein successfully, when enough blood ow or a lower venous pressure is conrmed. However, one should be aware of the risk factors and the adequate management of thrombosis in renal transplantation because of the serious complications of DVT and the poor prognosis of allograft vein thrombosis.