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CASE REPORT
Year : 2016  |  Volume : 10  |  Issue : 1  |  Page : 25-27

Salvage of renal allograft in mycotic pseudoaneurysm of the transplant renal artery


Department of Renal Transplant Surgery, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India

Correspondence Address:
Mukut Minz
Department of Renal Transplant Surgery, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.1016/j.ijt.2016.03.006

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Mycotic pseudoaneurysm of transplant renal artery is a rare complication and warrants allograft nephrectomy. We report a 54-year-old renal allograft recipient who presented with 9.2 cm × 5.9 cm × 5.7 cm sized pseudoaneurysm of transplant renal artery. Blood culture grew Pseudomonas aeruginosa. The allograft was explanted, aneurysm was excised, and the allograft was reimplanted to right internal iliac artery with interposition of autogenous arterial graft. Microbiological examination of the aneurysm wall did not reveal active infection. The patient did well and at four years maintains normal renal function. Salvage of renal allograft is possible in selected patients with mycotic pseudoaneurysm of transplant renal artery.


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