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Reversible renal allograft dysfunction and proteinuria from nutcracker-like syndrome: a case report.

Abstract：

:A 27-year-old Hispanic man with hypertension and renal failure was on hemodialysis for 4 years prior to receiving a living donor renal transplant from his 19-year-old sister. His serum creatinine decreased to 1.7 mg/dL at 3 weeks posttransplant with a urine protein creatinine ratio (UP) of 0.1 (g/g). Over the next 2 months, he experienced repeated episodes of allograft dysfunction with elevation of creatinine and proteinuria levels, associated with a lymphocele. Doppler studies of the allograft revealed renal vein compression. His symptoms responded to aspiration of the fluid collection, resolving completely with surgical drainage. We believe that the episodes of allograft dysfunction and proteinuria were related to recurrent lymphocele, causing a nutcracker-like syndrome.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Krishnan SG,Pritsiolas J,Susin M,Linden E,Beil-Levi E,Gitman M,Mossey R,Bhaskaran M

doi

10.1016/j.transproceed.2007.02.097

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

1685-7

issue

5

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(07)00526-X

journal_volume

39

pub_type

杂志文章

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