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KMID : 0356920070520030355
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Korean Journal of Anesthesiology
2007 Volume.52 No. 3 p.355 ~ p.358
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Spontaneous Rupture of Native Kidney in a Patient Receiving Kidney Transplantation -A case report-
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Cheong Soon-Ho
Cho Jae-Heung
Kim Young-Hwan
Lim Se-Hun
Lee Jeong-Han
Lee Kun-Moo
Choe Young-Kyun
Kim Young-Jae
Shin Chee-Mahn
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Abstract
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Spontaneous rupture of a kidney can occur as a complication of an acquired cystic kidney lesion. Herein, one case of a spontaneous rupture of a contralateral native kidney, due to the rupture of a cystic lesion during kidney transplantation surgery, is described. The patient was a 24 year old female admitted for left kidney transplantation due to chronic renal failure. During the operation, her arterial blood pressure and central venous pressure gradually decreased after anastomosis of the renal vessel, but without significant bleeding in the operative field or any suspected cause of the decreasing arterial blood pressure. On the first postoperative day, she underwent an abdominal CT, where a retroperitoneal hematoma was found. Therefore, a right nephrectomy was performed. She also had a right perirenal hematoma due to the rupture of cystic lesion in the native kidney. While a spontaneous rupture of the kidney is very rare, especially during the perioperative period, it is important to consider this complication when evaluating the corresponding clinical picture.
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KEYWORD
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cystic kidney disease, kidney rupture, kidney transplantation
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