Pseudoaneurysm caused by Pseudomonas aeruginosa infection after renal transplantation: a case report
10.3760/cma.j.cn421203-20201023-00365
- VernacularTitle:铜绿假单胞菌感染致移植肾假性动脉瘤一例并文献复习
- Author:
Junjun LE
;
Faliang ZHAO
;
Hao LI
;
Wenduo ZHANG
;
Zuohui WU
;
Zhouke TAN
;
Xiaoyong YAN
;
Guobiao LIANG
- From:
Chinese Journal of Organ Transplantation
2021;42(2):96-99
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explorethe the clinical manifestations, treatment and prognosis of anastomotic pseudoaneurysm after renal transplantation caused by infection.Methods:Clinical data of 1 recipient with pseudoaneurysm after renal transplantation due to Pseudomonas aeruginosa infection were retrospectively analysed and combined with a literature review. Results:At Month 2 post-transplantation, the recipient developed right lower abdominal pain, and contrast-enhanced ultrasound examination showed a pseudoaneurysm at the artery anastomosis. Anti-infection and anti-rejection therapy had no obvious effect, and therefore next surgical exploration was performed. A size4.0 cm×3.5cm pseudoaneurysm was found intraoperatively at the graft renal artery anastomosis.After graft was evaluated as having no preservation value, the transplanted kidney and pseudoaneurysm were resected. Bacterial culture indicated Pseudomonas aeruginosa infection.The recipient recovered well and waited for next transplantation. Conclusions:Pseudoaneurysm of transplanted kidney is a very rare complication after renal transplantation, and caused by infection of Pseudomonas aeruginosa is more rarer, It has not been reported in mainland China.This type of recipient has the characteristics of high graft inactivation rate and high mortality rate. Timely surgical resection can effectively prevent the deterioration of disease.
