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Leal R, Pinto H, Alves R, Figueiredo A. Late spontaneous decapsulation of the kidney graft in a patient with hepatitis C and treated with sirolimus: possible pathophysiological association in a rare complication. BMJ Case Rep 2017; 2017:bcr-2016-218335. [PMID: 28100577 DOI: 10.1136/bcr-2016-218335] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Late decapsulation with fluid collection is a rare complication of renal transplantation with deleterious effects on kidney function. Its physiopathology is unclear but there might be an association with mammalian target of rapamycin (m-TOR) inhibitors, especially in patients with chronic hepatitis C. We report a case of late spontaneous decapsulation 12 years after kidney transplant in a patient infected with hepatitis C under treatment with sirolimus. He underwent marsupialisation of the collection, sirolimus was converted to cyclosporine and hepatitis C treatment was performed with success. This is the first successful case report of late spontaneous decapsulation of the kidney graft in a patient with hepatitis C.
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Affiliation(s)
- Rita Leal
- Department of Nephrology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - Helena Pinto
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - Rui Alves
- Department of Nephrology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.,Universidade de Coimbra Faculdade de Medicina, Coimbra, Portugal
| | - Arnaldo Figueiredo
- Universidade de Coimbra Faculdade de Medicina, Coimbra, Portugal.,Department of Urology and Kidney Transplantation, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
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Choi G, Hwang E, Jang M, Han S, Park S, Kim H, Kim S. Late Spontaneous Subcapsular Hematoma in an Allograft Kidney. KOREAN JOURNAL OF TRANSPLANTATION 2010. [DOI: 10.4285/jkstn.2010.24.3.210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Go Choi
- Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea
- Kidney Institute, Keimyung University School of Medicine, Daegu, Korea
| | - Eunah Hwang
- Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea
- Kidney Institute, Keimyung University School of Medicine, Daegu, Korea
| | - Mihyun Jang
- Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea
- Kidney Institute, Keimyung University School of Medicine, Daegu, Korea
| | - Seungyeup Han
- Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea
- Kidney Institute, Keimyung University School of Medicine, Daegu, Korea
| | - Sungbae Park
- Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea
- Kidney Institute, Keimyung University School of Medicine, Daegu, Korea
| | - Hyunchul Kim
- Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea
- Kidney Institute, Keimyung University School of Medicine, Daegu, Korea
| | - Seehyung Kim
- Department of Radiology, Keimyung University School of Medicine, Daegu, Korea
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