Successful management of eviscerated renal allograft with preservation of function

H. Jeon, P. P. McHugh, D. Ranjan, T. D. Johnston, R. Gedaly, Lee Li-Qun Pu

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Although most wound complications after renal transplantation are minor, the renal allograft, in its superficial and extraperitoneal location, is vulnerable to exposure if there is wound breakdown resulting in loss of overlying tissue. We describe a 66-year-old man who received a renal allograft from a deceased donor for end-stage renal disease (ESRD) secondary to polycystic kidney disease. His immediate posttransplant course was complicated by delayed graft function from acute tubular necrosis, reexploration for perigraft hematoma and subsequent wound dehiscence. After unsuccessful conservative wound care, the renal allograft became completely eviscerated due to fascial retraction of the dehisced wound. While the allograft was initially covered with a pedicled rectus femoris muscle flap, several local tissue rearrangements were required for definitive coverage. The allograft function was recovered after initial flap coverage and was subsequently maintained; follow-up more than 2 years after transplantation has demonstrated not only continued stable graft function but also complete healing of the dehiscent wound.

Original languageEnglish (US)
Pages (from-to)1067-1070
Number of pages4
JournalAmerican Journal of Transplantation
Volume8
Issue number5
DOIs
StatePublished - May 2008

Keywords

  • Kidney transplantation
  • Wound healing

ASJC Scopus subject areas

  • Immunology

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