Late spontaneous kidney graft decapsulation after administration of sirolimus in a recipient with chronic hepatitis B and C infection: a case report.

Abstract:

:Late spontaneous kidney graft decapsulation with fluid collection is a rare condition with only a few cases reported in the literature. Common causes of renal allograft rupture include acute rejection, acute tubular necrosis, renal vein thrombosis, and trauma. Sirolimus related late spontaneous decapsulation has not been reported in the past. Interestingly, sirolimus may promote lymphocele formation in renal transplant recipients, including those presenting with chronic hepatitis B or C. Herein, we report a case of late spontaneous decapsulation with subcapsular hematoma formation developing 12 years after receipt of a cadaveric allograft. The patient was infected with both hepatitis B and C viruses. Cyclosporine was replaced by sirolimus for maintenance therapy because of chronic rejection and acute deterioration of renal function. He presented to the hospital at 9 months after sirolimus inception because of a sudden onset of pain and swelling over the kidney graft. Magnetic resonance imaging found the capsule to be stripped from the kidney by a collection of liquefied hematomas. A laparoscopic fenestration was performed by creation of a peritoneal window adjacent to the renal allograft. When patients have chronic hepatitis, tacrolimus might be a better choice than sirolimus.

journal_name

Transplant Proc

authors

Yang MH,Loong CC,Wu CW,Lui WY

doi

10.1016/j.transproceed.2008.07.044

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

2437-9

issue

7

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(08)00881-6

journal_volume

40

pub_type

杂志文章
  • Biopharmaceutical aspects of FK-506.

    abstract::FK is a potent immunosuppressive agent. FK can be analyzed in biologic fluids by EIA. The oral absorption of FK is rapid but variable in dogs. After intramuscular administration, FK is slowly and continuously absorbed. FK is primarily eliminated by metabolism. Less than 1% of the administered dose is excreted in the b...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:

    authors: Venkataramanan R,Warty VS,Zemaitis MA,Sanghvi AT,Burckart GJ,Seltman H,Todo S,Makowka L,Starzl TE

    更新日期:1987-10-01 00:00:00

  • Liver transplant results for hepatocellular carcinoma applying strict preoperative selection criteria.

    abstract:INTRODUCTION:Liver transplantation is currently the best therapeutic option for small hepatocellular carcinoma (HC) in selected cirrhotic patients. The main aim of this study was to analyze the results of a recent series of liver transplant cirrhotic patients with small HC applying strict preoperative selection criteri...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2005.02.059

    authors: Santoyo J,Suarez MA,Fernández-Aguilar JL,Jiménez M,Perez Daga JA,Sánchez-Perez B,Gonzalez Poveda I,Gonzalez-Sanchez A,Ramírez C,de la Fuente A

    更新日期:2005-04-01 00:00:00

  • Immunomonitoring of renal transplant recipients in the early posttransplant period by sequential analysis of chemokine and chemokine receptor gene expression in peripheral blood mononuclear cells.

    abstract:INTRODUCTION:We sought to determine whether sequential changes in chemokine ligand/receptor gene expression in the early posttransplant period of human renal allografts can be detected in peripheral blood mononuclear cells (PBMCs) and whether any such changes are predictive of clinical events. METHODS:Blood samples fr...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2004.12.097

    authors: Dalton RS,Webber JN,Pead P,Gibbs PJ,Sadek SA,Howell WM

    更新日期:2005-03-01 00:00:00

  • De novo colorectal cancer: five-year survival is markedly lower in transplant recipients compared with the general population.

    abstract:INTRODUCTION:The biological behavior of most solid tumors in transplant recipients has not been adequately compared to the general population. The purpose of the present study was to compare outcomes in de novo colorectal cancer (CRC) following solid organ transplantation to those observed in the general population (SE...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2004.12.122

    authors: Buell JF,Papaconstantinou HT,Skalow B,Hanaway MJ,Alloway RR,Woodle ES

    更新日期:2005-03-01 00:00:00

  • Risk factors for delayed renal graft function and their impact on renal transplantation outcome.

    abstract:OBJECTIVE:The objective of this study was to evaluate the risk factors for delayed graft function (DGF) and their influence on renal graft outcome. PATIENTS AND METHODS:We reviewed 1462 consecutive renal transplantation and identified 245 patients (17.1%) with delayed graft function and 1120 patients with immediate gr...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2007.07.032

    authors: Figueiredo A,Moreira P,Parada B,Nunes P,Macário F,Bastos C,Mota A

    更新日期:2007-10-01 00:00:00

  • Tacrolimus and Mycophenolic Acid Blood Concentration and Cellular Rejection After Heart Transplantation in First Endomyocardial Biopsy.

    abstract:BACKGROUND:Tacrolimus and mycophenolic acid (MPA) are the most important immunosuppressive drugs in modern heart transplantation. The pharmacokinetics of tacrolimus are best described by a 2-compartment model. MPA has very variable pharmacokinetics. The aim of this research was to compare kinetics of the immunosuppress...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2020.03.006

    authors: Nadziakiewicz P,Grochla M,Krauchuk A,Szyguła-Jurkiewicz B,Lorek J,Barańska A,Zembala MO,Przybyłowski P

    更新日期:2020-09-01 00:00:00

  • A pilot study on the safety and efficacy of generic mycophenolate agent as conversion maintenance therapy in stable liver transplant recipients.

    abstract:PURPOSE:The patent covering mycophenolate mofetil (MMF) in Korea has expired and, thus, several generic MMF agents are now commercially available. The supply of Cellcept (Roche Korea) was interrupted at the end of 2011, so it was inevitable that a generic MMF would be used instead. During this period, we performed a pr...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2013.08.026

    authors: Namgoong JM,Hwang S,Ahn CS,Kim KH,Moon DB,Ha TY,Song GW,Jung DH,Park GC,Park HW,Park CS,Park YH,Kang SH,Jung BH,Lee SG

    更新日期:2013-10-01 00:00:00

  • Treatment of acute graft-vs-host disease after simultaneous pancreas-kidney transplantation: a case report.

    abstract::Whereas neutropenia is common after solid-organ transplantation, graft-vs-host disease is unusual, especially after simultaneous pancreas-kidney transplantation. Most cases reported in the literature give few details of treatment approach, and all were fatal. A 45-year-old man with diabetes underwent simultaneous panc...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2010.08.058

    authors: Osband AJ,Laskow DA,Mann RA

    更新日期:2010-11-01 00:00:00

  • Thromboelastography-guided transfusion decreases intraoperative blood transfusion during orthotopic liver transplantation: randomized clinical trial.

    abstract:OBJECTIVE:To test in a prospective randomized study the hypothesis that use of thromboelastography (TEG) decreases blood transfusion during major surgery. MATERIAL AND METHODS:Twenty-eight patients undergoing orthotopic liver transplantation were recruited over 2 years. Patients were randomized into 2 groups: those mo...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.transproceed.2010.05.144

    authors: Wang SC,Shieh JF,Chang KY,Chu YC,Liu CS,Loong CC,Chan KH,Mandell S,Tsou MY

    更新日期:2010-09-01 00:00:00

  • Effect of routine insertion of a double-J stent after living related renal transplantation.

    abstract::It is still not clear whether double-J stents (DJS) are of benefit. We sought to determine whether routine prophylactic use of DJS reduced postoperative complications after renal transplantation. We prospectively evaluated 42 living donor renal transplantations performed between September 2001 and September 2003. The ...

    journal_title:Transplantation proceedings

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.transproceed.2005.01.083

    authors: Moray G,Yagmurdur MC,Sevmis S,Ayvaz I,Haberal M

    更新日期:2005-03-01 00:00:00

  • Sympathetic nerves do not affect experimental ischemia-reperfusion injury of rat liver.

    abstract:BACKGROUND:We investigated whether sympathetic, noradrenergic nerves participate in experimental acute ischemia-reperfusion injury of the rat liver. METHODS:Female Wistar rats (200-250 g body weight) were anesthetized with pentobarbital. After tracheotomy, we cannulated a carotid artery and jugular vein. The rats were...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2009.01.035

    authors: Friman S,Wallin M,Gustafsson BI,Delbro DS

    更新日期:2009-03-01 00:00:00

  • Impact of Age Difference, Sex Matching, and Body Mass Index Matching Between Donor and Recipient in Renal Transplant.

    abstract:BACKGROUND:Various factors influence kidney transplant (KT) outcome. The impact of age difference between donor and recipient on long- and short-term graft and patient survival in living donor KT remains unclear. OBJECTIVE:We aim to determine whether age difference, sex matching, and body mass index (BMI) matching bet...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2019.05.020

    authors: Baddiri AT,Villanueva RT,Cabanayan-Casasola CB

    更新日期:2019-10-01 00:00:00

  • Frequency of Human Papilloma Virus Occurrence Among Pathological Changes of the Oral Cavity in Kidney Allotransplant Recipients Undergoing Long-Term Pharmacological Immunosuppressive Therapy.

    abstract::Recipients of allotransplants are more susceptible to viral infections, among which the human papilloma virus infection is an independent factor inducing precancerous lesions and cancers of both the anogenital and the cervicocephalic region. MATERIALS AND METHODS:The study included a group of 69 allogenic kidney tran...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2018.05.008

    authors: Szubińska-Lelonkiewicz D,Osiak M,Wychowański P,Siewert-Gutowska M,Fiedor P

    更新日期:2018-01-01 00:00:00

  • Experimental model of isolated lung perfusion in rats: first Brazilian experience using the IL-2 isolated perfused rat or guinea pig lung system.

    abstract:INTRODUCTION:Lung transplantation has become the mainstay therapy for patients with end-stage lung disease refractory to medical management. However, the number of patients listed for lung transplantation largely exceeds available donors. The study of lung preservation requires accurate, cost-effective small animal mod...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2010.01.016

    authors: Pêgo-Fernandes PM,Werebe E,Cardoso PF,Pazetti R,de Oliveira KA,Soares PR,Jatene FB

    更新日期:2010-03-01 00:00:00

  • Preexisting Cerebral Aspergillosis Successfully Treated After Liver Transplantation: A Case Report.

    abstract:BACKGROUND:Invasive aspergillosis (IA) is a rare condition that generally affects immunosuppressed patients. The mortality of IA is known to be >90% in liver transplantation (LT) recipients; the lung is the most commonly affected organ, followed by the brain. There have been reports in the literature of cerebral asperg...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2017.09.013

    authors: Lee JS,Kim SH,Kwon JH,Yoon YC

    更新日期:2017-12-01 00:00:00

  • Utility of Oxford Classification in Post-Transplant Immunoglobulin A Nephropathy.

    abstract:BACKGROUND:With increasing graft survival, post-transplant immunoglobulin A nephropathy (IgAN) has emerged as an important cause of chronic graft dysfunction in renal allograft recipients. We studied the clinico-pathological features of post-transplant IgAN regardless of the primary disease. The aim was to study the us...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2017.10.002

    authors: Agrawal V,Singh A,Kaul A,Verma R,Jain M,Pandey R

    更新日期:2017-12-01 00:00:00

  • Impact of Conversion From Cyclosporine to Tacrolimus on Glucose Metabolism and Cardiovascular Risk Profiles in Long-Term Stable Kidney Transplant Recipients.

    abstract:BACKGROUND:Compared to tacrolimus, cyclosporine increases cardiovascular risk. Furthermore, tacrolimus has a negative effect on glucose metabolism compared to cyclosporine. This study investigated the effect of the conversion from cyclosporine to tacrolimus for immunosuppressive therapy on glucose metabolism and cardio...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2019.04.081

    authors: Lim JH,Hwang I,Cho JH,Kwon E,Jung HY,Choi JY,Park SH,Kim YL,Kim HK,Huh S,Won DI,Kim CD

    更新日期:2019-10-01 00:00:00

  • Histocompatibility testing for highly sensitized transplant candidates.

    abstract::HLA antibodies can develop for many different reasons and are often present in the serum of patients awaiting renal transplantation. These antibodies can limit the patient's ability to find a compatible donor and are a risk factor for poor graft outcome. Detection of HLA antibodies is important for identifying compati...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2007.01.053

    authors: Saidman SL

    更新日期:2007-04-01 00:00:00

  • Non-heart-beating donors: an inquiry to ICU nurses in a belgian university hospital.

    abstract::Demand for organs for transplantation continues to be greater than supply. Non-heart-beating donation (NHBD) has been reintroduced to reverse this trend. We describe the findings of a short questionnaire that determined the attitudes and feelings of nursing staff in a department of intensive care with an established N...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2009.01.002

    authors: Vincent JL,Maetens Y,Vanderwallen C,Van Nuffelen M,Wissing M,Donckier V

    更新日期:2009-03-01 00:00:00

  • One-year observation of kidney allograft recipients converted from cyclosporine microemulsion to tacrolimus.

    abstract::The results from previous trials suggested that tacrolimus-based treatment in kidney transplantation was associated with a significantly lower incidence of acute rejection, and that cyclosporine microemulsion (CsA-Me)-treated patients converted to tacrolimus had numerically better 6-year graft survival than those rema...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2005.11.081

    authors: Chamienia A,Biedunkiewicz B,Król E,Debska-Slizień A,Rutkowski B

    更新日期:2006-01-01 00:00:00

  • Robot-Assisted Radical Cystectomy With Orthotopic Neobladder as a Urinary Diversion for a Kidney Transplant Recipient: A Case Report.

    abstract:BACKGROUND:A higher prevalence of bladder cancer is reported in solid organ recipients, and advanced cancer requires radical cystectomy combined with urinary diversion. Surgery is technically challenging in kidney transplant recipients because of urinary tract abnormalities. Here, we describe the use of a robot-assiste...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2019.12.002

    authors: Ishiyama Y,Yoshida K,Iizuka J,Unagami K,Hashimoto K,Moriyama I,Unagami K,Takagi T,Kakuta Y,Okumi M,Kondo T,Ishida H,Tanabe K

    更新日期:2020-03-01 00:00:00

  • Newer antifungal agents for fungal infection prevention during hematopoietic cell transplantation: a meta-analysis.

    abstract:OBJECTIVE:The efficacy of newer antifungal agents to provide effective prophylaxis during stem cell transplantation has not yet been established. We compared the clinical outcomes using of the newer triazoles and echinocandins for antifungal prophylaxis. METHODS:We electronically searched the databases of Cochrane Cen...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.transproceed.2012.07.149

    authors: Xu SX,Shen JL,Tang XF,Feng B

    更新日期:2013-01-01 00:00:00

  • Use of high-dose human immune globulin in highly sensitized patients on the kidney transplant waiting list: one center's experience.

    abstract:INTRODUCTION:Transplant rates are low among highly sensitized patients with preformed anti-HLA antibodies, because of the additional immunologic barrier, the increased risk of rejection, and the greater chance of early graft loss. Intravenous infusion of pooled human immune globulin (IVIG) is immunomodulatory, neutrali...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2009.08.006

    authors: Gozdowska J,Urbanowicz A,Perkowska-Ptasinska A,Michalska K,Chmura A,Szmidt J,Durlik M

    更新日期:2009-10-01 00:00:00

  • Can Doppler ultrasonographic indices of the renal artery predict the presence of supernumerary renal arteries?

    abstract:BACKGROUND:Variations of the renal arteries, including the presence of supernumerary renal arteries, are important to be identified prior to renal transplant. Angiography has been the gold standard test for the pretransplant evaluation of the renal vasculature. However, this modality is expensive and invasive. The aim ...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2009.07.033

    authors: Ghabili K,Khosroshahi HT,Shakeri A,Tubbs RS,Bahluli A,Shoja MM

    更新日期:2009-09-01 00:00:00

  • Posttransplantation conversion to sirolimus-based immunosuppression: a single center experience.

    abstract::Sirolimus (SRL) has become an option in kidney transplantation, especially among patients who develop chronic allograft nephropathy (CAN). This study sought to evaluate the safety and efficacy of SRL in 103 kidney recipients of mean age 40 years, including 78 recipients of organs from deceased donors. The major reason...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2007.04.021

    authors: Saber LT,Ikeda MY,Almeida JM

    更新日期:2007-12-01 00:00:00

  • Body image in kidney transplantation.

    abstract:INTRODUCTION:Psychologic disturbances are becoming more common in kidney transplantation, owing to effects of immunosuppressive therapy. In this study, we explored the incidence and specifity of psychopathology among kidney transplant patients. Twenty kidney transplant recipients underwent the Machover Draw-A-person te...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2010.03.071

    authors: De Pasquale C,Pistorio ML,Sorbello M,Parrinello L,Corona D,Gagliano M,Giuffrida G,Giaquinta A,Sinagra N,Zerbo D,Veroux P,Veroux M

    更新日期:2010-05-01 00:00:00

  • Liver transplantation for acute liver failure: the Hungarian experience.

    abstract::Acute liver failure (ALF) counts for 9%-11% of activity in leading liver transplant programs. We have summarized the Hungarian Liver Transplant Program experience for ALF among 412 consecutive orthotopic liver transplantations (OLTs). All OLTs were performed without an extended international donor background. The prop...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2011.03.076

    authors: Nemes B,Zádori G,Görög D,Fehérvári I,Kóbori L,Langer RM

    更新日期:2011-05-01 00:00:00

  • Monitoring of CD3(+) T-cell count in patients receiving antithymocyte globulin induction after cadaveric renal transplantation.

    abstract:AIM:Although antithymocyte globulin (ATG) has been used for years, its ideal dose and administration period is obscure. Herein, we sought to use the CD3(+) cell count to detect the optimal ATG dosage. MATERIAL AND METHODS:Twenty-one patients who underwent cadaveric donor renal transplantation from January 2009 to Janu...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2013.02.092

    authors: Ata P,Kara M,Özdemir E,Canbakan M,Gökçe AM,Bayraktar FA,Şahin G,Özel L,Titiz MI

    更新日期:2013-04-01 00:00:00

  • Pregnancy outcomes among female recipients after liver transplantation: further experience.

    abstract:INTRODUCTION:Liver transplantations give female recipients an ability to carry pregnancies successfully. However, solid organ transplantations exacerbate the pregnancy including maternal and neonatal outcomes. The aim of our study was to evaluate and identify the obstetric outcomes in women with a prior liver transplan...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2011.08.070

    authors: Jabiry-Zieniewicz Z,Szpotanska-Sikorska M,Pietrzak B,Kociszewska-Najman B,Foroncewicz B,Mucha K,Zieniewicz K,Krawczyk M,Wielgos M

    更新日期:2011-10-01 00:00:00

  • BK virus nephropathy in renal transplant recipients in Kuwait: a preliminary report.

    abstract:INTRODUCTION:BK virus nephropathy (BKVN) is a significant cause of graft loss among renal transplant recipients. The treatment outcomes of BKVN have been variably reported in the literature. PATIENTS AND METHODS:We prospectively investigated BKV infection and BKVN among a population of renal transplant recipients with...

    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2005.08.018

    authors: Nampoory MR,Johny KV,Pacsa A,Nair PM,Said T,Halim MA,Francis I,Samhan M,Mousawi M,Dalawi A,Szucs G,Al-Nakib W

    更新日期:2005-09-01 00:00:00