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KMID : 0361120230370020135
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Korean Journal of Transplantation
2023 Volume.37 No. 2 p.135 ~ p.140
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Transplant-associated Kaposi’s sarcoma in a kidney allograft: a case report
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Lee Jae-Jun
Kim Jin-Myung
Ko Young-Min
Kang Seong-Kyu
Jung Joo-Hee
Kwon Hyun-Wook
Kim Young-Hoon
Shin Sung
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Abstract
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Kaposi’s sarcoma (KS) is a disease that is not widely known among the general public, but has a high prevalence among organ transplant recipients. Here, we present a rare case of intragraft KS after kidney transplantation. A 53-year-old woman who had been on hemodialysis due to diabetic nephropathy underwent deceased-donor kidney transplantation on December 7, 2021. Approximately 10 weeks after kidney transplantation, her creatinine level increased to 2.99 mg/dL. Upon examination, ureter kinking was confirmed between the ureter orifices and the transplanted kidney. As a result, percutaneous nephrostomy was performed, and a ureteral stent was inserted. During the procedure, bleeding occurred due to a renal artery branch injury, and embolization was performed immediately. Subsequently, kidney necrosis and uncontrolled fever developed, leading to graftectomy. Surgical findings revealed that the kidney parenchyma was necrotic as a whole, and lymphoproliferative lesions had formed diffusely around the iliac artery. These lesions were removed during graftectomy, and a histological examination was performed. The kidney graft and lymphoproliferative lesions were diagnosed as KS based on a histological examination. We report a rare case in which a recipient developed KS in the kidney allograft as well as in adjacent lymph nodes.
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KEYWORD
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Kidney transplantation, Kaposi’s sarcoma, Maligancy after transplantation, Case report
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