Ruptured Hemangioma of a Native Kidney: An Unusual Cause of Postoperative Hemorrhage in Kidney Transplant Recipients

Ann Transplant. 2017 Mar 14:22:138-140. doi: 10.12659/aot.901149.

Abstract

BACKGROUND Retroperitoneal bleeding as a consequence of non-traumatic kidney or allograft rupture is well known, but there are no reports on hemorrhagia from a native kidney after allogeneic renal transplantation. Therefore, we present the first such case to be published and highlight the possibility of this complication after renal transplantation. CASE REPORT We report the case of a 28-year-old male patient who developed early post-transplant hemorrhagia from a ruptured native kidney. The patient underwent left-sided nephrectomy. Histopathological examination revealed ruptured hemangioma of the patient's native left kidney. The further postoperative period was not complicated. The patient was discharged on the 18th postoperative day, with good transplant function. CONCLUSIONS Transplantologists should be aware of the fact that in patients with uncontrolled blood pressure, native kidney hemangioma may rupture in the early post-transplant period, and it can be a life-threating and difficult to diagnose complication.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Hemangioma / complications*
  • Hemorrhage / etiology*
  • Humans
  • Kidney Failure, Chronic / surgery
  • Kidney Neoplasms / complications*
  • Kidney Transplantation / adverse effects*
  • Male
  • Nephritis, Interstitial / surgery
  • Postoperative Complications*
  • Rupture, Spontaneous / complications*
  • Transplant Recipients