Resumo

VARGAS-ROCHA, Vladimir Erik  e  UZARES ENRIQUEZ, Daniela. Partial nephrectomy for kidney graft necrosis in a transplanted patient. Gac Med Bol [online]. 2023, vol.46, n.2, pp.133-136.  Epub 01-Dez-2023. ISSN 1012-2966.  https://doi.org/10.47993/gmb.v46i2.244.

The first successful kidney transplant was performed in 1954, and its performance has spread throughout the world, postoperative complications are not uncommon, these complications are divided into three groups: Vascular, parietal and urological complications. The most serious are those of vascular origin, among which we can mention stenosis of the renal artery or vein, thrombosis due to torsion failed anastomosis or hemorrhage, while parietal or urological complications are ureteral stenosis, urinary leakage, peritransplant fluic collections ( hematoma or lymphocele).A 57-year-old male patient presents a history of: Chronic kidney disease on hemodialysis since 2019, underwent a kidney transplant on 12/08/2022, with findings of a transplanted kidney with 4 arteries and 2 veins, presenting sepsis data and data a month after surgery. perigraft collection, surgical exploration was performed, evidencing necrosis of the entire posterior face of the graft until compromising the renal pelvis, with total opening of the posterior renal pelvis, with urine leakage, for which debridement of the renal graft and placement of a pyelostomy and catheter is performed JJ, with subsequent recovery of rena function and increased diuresis. Conclusions: Surgical complications after renal transplantation are frequent, and occur in % of patients although urological complications such as urine leakage are rare and more when necrosis occurs at the level of the renal pelvis, it is evident that timely management is required and there are several factors to take into account from a pre-transplant control to the remote postoperative period and thus avoid graft loss since it leads to a great deterioration in the patient's life.

Palavras-chave : kidney transplantation; nephron-sparing surgery; sepsis.

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