Rapports de transplantation : accès libre

Abstrait

Following Kidney Transplantation, Mycotic Pseudoneurism: Two Case Reports

Hani M Wadei

Background: Vascular complications after order transplantation may beget allograft loss. Then, we describe 2 cases with extrarenal mycotic pseudoaneurysm after order transplantation.

Method: Case 1 was a 54- time-old man who developed pseudoaneurysm 60 days after transplantation, and case 2 was a 48- time-old woman who was diagnosed with a pseudoaneurysm 5 months after transplantation.

Results: Case 1 had a departed- patron order transplant with end- to- side external iliac arterial anastomosis that was reconstructed 8 days after transplantation owing to rupture and major bleeding. At 60 days after transplantation, he'd high serum creatinine position and Doppler ultrasonography showed a mock aneurysm of the arterial graft anastomosis and post anastomotic renal roadway stenosis. Treatment included surgical excision of the mock aneurysm, vascular reconstruction, and fluconazole, with mycologic culture of the resected mock aneurysm showing Candida albicans. Case 2 developed non disabling intermittent claudication at 5 months after order transplantation, with a pseudoaneurysm latterly observed on Doppler ultrasonography and motorized tomographic angiography. Treatment included renal roadway thrombectomy and common iliac bypass to the hilar patron renal roadway with reversed ipsilateral long saphenous tone. Operative samples showed C albicans, and she was treated with fluconazole. Both cases had satisfactory issues, and both order allografts were saved.

Conclusions: Extrarenal mycotic pseudoaneurysms after order transplantation bear a high indicator of dubitation for early opinion, and preservation of the order graft may be achieved with the use of surgical treatment and antifungal remedy.