Pathologic findings of renal biopsy were a helpful diagnostic clue of stenosis of the iliac segment proximal to the transplant renal artery: A case report

H. Aoyama, K. Saigo, M. Hasegawa, N. Akutsu, M. Maruyama, K. Otsuki, I. Matsumoto, T. Kawaguchi, H. Kitamura, T. Asano, Takashi Kenmochi, T. Itou, H. Matsubara

研究成果: Article

2 引用 (Scopus)

抄録

Common iliac artery stenosis after renal transplantation is a rare complication; it can occur in the course of hypertension and renal dysfunction. We report a case of suspected renal allograft rejection with iliac artery stenosis proximal to a transplanted kidney. A 52-year-old man with a history of cadaveric kidney transplantation 26 years previously underwent a second cadaveric kidney transplantation in the left iliac fossa because of graft failure 3 years before. In June 2012, the patient had progressive renal dysfunction. In July, a percutaneous needle biopsy was taken, and it showed no rejection; however, his renal function continued to get worse through September. A percutaneous allograft renal biopsy was performed under ultrasound guidance and showed hyperplasia of the juxtaglomerular apparatus and renin granules. Magnetic resonance angiography was used to evaluate the arteries in the pelvis and showed left common iliac artery stenosis, and a stent was placed. After percutaneous intervention, the patient's ankle brachial pressure index was within the normal range and the allograft function had improved.

元の言語English
ページ(範囲)651-653
ページ数3
ジャーナルTransplantation Proceedings
46
発行部数2
DOI
出版物ステータスPublished - 01-01-2014

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Renal Artery
Pathologic Constriction
Iliac Artery
Transplants
Kidney
Biopsy
Kidney Transplantation
Allografts
Juxtaglomerular Apparatus
Ankle Brachial Index
Renal Hypertension
Magnetic Resonance Angiography
Needle Biopsy
Pelvis
Renin
Hyperplasia
Stents
Reference Values
Arteries
Pressure

All Science Journal Classification (ASJC) codes

  • Surgery
  • Transplantation

これを引用

Aoyama, H. ; Saigo, K. ; Hasegawa, M. ; Akutsu, N. ; Maruyama, M. ; Otsuki, K. ; Matsumoto, I. ; Kawaguchi, T. ; Kitamura, H. ; Asano, T. ; Kenmochi, Takashi ; Itou, T. ; Matsubara, H. / Pathologic findings of renal biopsy were a helpful diagnostic clue of stenosis of the iliac segment proximal to the transplant renal artery : A case report. :: Transplantation Proceedings. 2014 ; 巻 46, 番号 2. pp. 651-653.
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Aoyama, H, Saigo, K, Hasegawa, M, Akutsu, N, Maruyama, M, Otsuki, K, Matsumoto, I, Kawaguchi, T, Kitamura, H, Asano, T, Kenmochi, T, Itou, T & Matsubara, H 2014, 'Pathologic findings of renal biopsy were a helpful diagnostic clue of stenosis of the iliac segment proximal to the transplant renal artery: A case report', Transplantation Proceedings, 巻. 46, 番号 2, pp. 651-653. https://doi.org/10.1016/j.transproceed.2013.11.140

Pathologic findings of renal biopsy were a helpful diagnostic clue of stenosis of the iliac segment proximal to the transplant renal artery : A case report. / Aoyama, H.; Saigo, K.; Hasegawa, M.; Akutsu, N.; Maruyama, M.; Otsuki, K.; Matsumoto, I.; Kawaguchi, T.; Kitamura, H.; Asano, T.; Kenmochi, Takashi; Itou, T.; Matsubara, H.

:: Transplantation Proceedings, 巻 46, 番号 2, 01.01.2014, p. 651-653.

研究成果: Article

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AU - Akutsu, N.

AU - Maruyama, M.

AU - Otsuki, K.

AU - Matsumoto, I.

AU - Kawaguchi, T.

AU - Kitamura, H.

AU - Asano, T.

AU - Kenmochi, Takashi

AU - Itou, T.

AU - Matsubara, H.

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N2 - Common iliac artery stenosis after renal transplantation is a rare complication; it can occur in the course of hypertension and renal dysfunction. We report a case of suspected renal allograft rejection with iliac artery stenosis proximal to a transplanted kidney. A 52-year-old man with a history of cadaveric kidney transplantation 26 years previously underwent a second cadaveric kidney transplantation in the left iliac fossa because of graft failure 3 years before. In June 2012, the patient had progressive renal dysfunction. In July, a percutaneous needle biopsy was taken, and it showed no rejection; however, his renal function continued to get worse through September. A percutaneous allograft renal biopsy was performed under ultrasound guidance and showed hyperplasia of the juxtaglomerular apparatus and renin granules. Magnetic resonance angiography was used to evaluate the arteries in the pelvis and showed left common iliac artery stenosis, and a stent was placed. After percutaneous intervention, the patient's ankle brachial pressure index was within the normal range and the allograft function had improved.

AB - Common iliac artery stenosis after renal transplantation is a rare complication; it can occur in the course of hypertension and renal dysfunction. We report a case of suspected renal allograft rejection with iliac artery stenosis proximal to a transplanted kidney. A 52-year-old man with a history of cadaveric kidney transplantation 26 years previously underwent a second cadaveric kidney transplantation in the left iliac fossa because of graft failure 3 years before. In June 2012, the patient had progressive renal dysfunction. In July, a percutaneous needle biopsy was taken, and it showed no rejection; however, his renal function continued to get worse through September. A percutaneous allograft renal biopsy was performed under ultrasound guidance and showed hyperplasia of the juxtaglomerular apparatus and renin granules. Magnetic resonance angiography was used to evaluate the arteries in the pelvis and showed left common iliac artery stenosis, and a stent was placed. After percutaneous intervention, the patient's ankle brachial pressure index was within the normal range and the allograft function had improved.

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