TY - JOUR
T1 - Successful management of eviscerated renal allograft with preservation of function
AU - Jeon, H.
AU - McHugh, P. P.
AU - Ranjan, D.
AU - Johnston, T. D.
AU - Gedaly, R.
AU - Pu, Lee L.Q.
PY - 2008/5
Y1 - 2008/5
N2 - 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.
AB - 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.
KW - Kidney transplantation
KW - Wound healing
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U2 - 10.1111/j.1600-6143.2008.02189.x
DO - 10.1111/j.1600-6143.2008.02189.x
M3 - Article
C2 - 18325080
AN - SCOPUS:42149169751
SN - 1600-6135
VL - 8
SP - 1067
EP - 1070
JO - American Journal of Transplantation
JF - American Journal of Transplantation
IS - 5
ER -