Late renal allograft rupture in a patient with small vessel vasculitis following discontinuation of immunosuppression

Ali H. Zakir; Kenneth J. Woodside; Eric C. Feliberti; Srinivasan Rajaraman; Kristene K. Gugliuzza; John A. Daller

doi:10.1111/j.1432-2277.2003.tb00237.x

Late renal allograft rupture in a patient with small vessel vasculitis following discontinuation of immunosuppression

Ali H. Zakir, Kenneth J. Woodside, Eric C. Feliberti, Srinivasan Rajaraman, Kristene K. Gugliuzza, John A. Daller

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

We report the case of a 21-year-old man with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis who experienced spontaneous renal allograft rupture 21 months after engraftment. Because of chronic allograft nephropathy, the patient's immunosuppressive regimen had been discontinued approximately 3 weeks prior to his presentation with abdominal pain and evidence of internal hemorrhage. He was emergently taken to the operating room, where a ruptured allograft was found and transplant nephrectomy was performed. Postoperatively, the cause of rupture was determined to have been acute cellular rejection. This case may be the longest interval reported between renal transplant and spontaneous allograft rupture.

Original language	English (US)
Pages (from-to)	761-764
Number of pages	4
Journal	Transplant International
Volume	16
Issue number	10
DOIs	https://doi.org/10.1111/j.1432-2277.2003.tb00237.x
State	Published - Oct 2003
Externally published	Yes

Keywords

Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis
Complications
Delayed renal allograft rupture
Kidney rupture
Renal transplant
Small vessel vasculitis

ASJC Scopus subject areas

Transplantation

Access to Document

10.1111/j.1432-2277.2003.tb00237.x

Cite this

@article{3660b0b16ea34e7ea27f42bf149cafeb,

title = "Late renal allograft rupture in a patient with small vessel vasculitis following discontinuation of immunosuppression",

abstract = "We report the case of a 21-year-old man with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis who experienced spontaneous renal allograft rupture 21 months after engraftment. Because of chronic allograft nephropathy, the patient's immunosuppressive regimen had been discontinued approximately 3 weeks prior to his presentation with abdominal pain and evidence of internal hemorrhage. He was emergently taken to the operating room, where a ruptured allograft was found and transplant nephrectomy was performed. Postoperatively, the cause of rupture was determined to have been acute cellular rejection. This case may be the longest interval reported between renal transplant and spontaneous allograft rupture.",

keywords = "Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis, Complications, Delayed renal allograft rupture, Kidney rupture, Renal transplant, Small vessel vasculitis",

author = "Zakir, {Ali H.} and Woodside, {Kenneth J.} and Feliberti, {Eric C.} and Srinivasan Rajaraman and Gugliuzza, {Kristene K.} and Daller, {John A.}",

year = "2003",

month = oct,

doi = "10.1111/j.1432-2277.2003.tb00237.x",

language = "English (US)",

volume = "16",

pages = "761--764",

journal = "Transplant International",

issn = "0934-0874",

publisher = "Wiley-Blackwell",

number = "10",

}

TY - JOUR

T1 - Late renal allograft rupture in a patient with small vessel vasculitis following discontinuation of immunosuppression

AU - Zakir, Ali H.

AU - Woodside, Kenneth J.

AU - Feliberti, Eric C.

AU - Rajaraman, Srinivasan

AU - Gugliuzza, Kristene K.

AU - Daller, John A.

PY - 2003/10

Y1 - 2003/10

N2 - We report the case of a 21-year-old man with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis who experienced spontaneous renal allograft rupture 21 months after engraftment. Because of chronic allograft nephropathy, the patient's immunosuppressive regimen had been discontinued approximately 3 weeks prior to his presentation with abdominal pain and evidence of internal hemorrhage. He was emergently taken to the operating room, where a ruptured allograft was found and transplant nephrectomy was performed. Postoperatively, the cause of rupture was determined to have been acute cellular rejection. This case may be the longest interval reported between renal transplant and spontaneous allograft rupture.

AB - We report the case of a 21-year-old man with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis who experienced spontaneous renal allograft rupture 21 months after engraftment. Because of chronic allograft nephropathy, the patient's immunosuppressive regimen had been discontinued approximately 3 weeks prior to his presentation with abdominal pain and evidence of internal hemorrhage. He was emergently taken to the operating room, where a ruptured allograft was found and transplant nephrectomy was performed. Postoperatively, the cause of rupture was determined to have been acute cellular rejection. This case may be the longest interval reported between renal transplant and spontaneous allograft rupture.

KW - Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis

KW - Complications

KW - Delayed renal allograft rupture

KW - Kidney rupture

KW - Renal transplant

KW - Small vessel vasculitis

UR - http://www.scopus.com/inward/record.url?scp=0242558128&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0242558128&partnerID=8YFLogxK

U2 - 10.1111/j.1432-2277.2003.tb00237.x

DO - 10.1111/j.1432-2277.2003.tb00237.x

M3 - Article

C2 - 12827233

AN - SCOPUS:0242558128

SN - 0934-0874

VL - 16

SP - 761

EP - 764

JO - Transplant International

JF - Transplant International

IS - 10

ER -

Late renal allograft rupture in a patient with small vessel vasculitis following discontinuation of immunosuppression

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this