Intravascular gas in the transplanted kidney: A sign of extensive graft necrosis

Kousei Ishigami; Kim M. Olsen; Bradley K. Hammet; Daniel A. Katz; You Min Wu

doi:10.1007/s10140-004-0334-7

Intravascular gas in the transplanted kidney: A sign of extensive graft necrosis

Kousei Ishigami, Kim M. Olsen, Bradley K. Hammet, Daniel A. Katz, You Min Wu

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

We encountered a case of transplanted kidney necrosis, with computed tomography (CT) demonstrating multiple areas of intravascular gas within the allograft. The intravascular gas represented air emboli from gas liberated from fermentation by gas-forming organisms in a perinephric abscess. Arterial bleeding accelerated by the wound infection and the resultant large perinephric hematoma caused renal infarction. Gas-forming infection of transplanted organs is associated with a poor graft outcome, which can present as a fulminant clinical course. Intravascular gas should be distinguished from collecting system gas because the former could represent extensive necrosis of the transplanted kidney.

Original language	English
Pages (from-to)	279-281
Number of pages	3
Journal	Emergency Radiology
Volume	10
Issue number	5
DOIs	https://doi.org/10.1007/s10140-004-0334-7
Publication status	Published - Apr 2004
Externally published	Yes

All Science Journal Classification (ASJC) codes

Emergency Medicine
Radiology Nuclear Medicine and imaging

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10.1007/s10140-004-0334-7

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abstract = "We encountered a case of transplanted kidney necrosis, with computed tomography (CT) demonstrating multiple areas of intravascular gas within the allograft. The intravascular gas represented air emboli from gas liberated from fermentation by gas-forming organisms in a perinephric abscess. Arterial bleeding accelerated by the wound infection and the resultant large perinephric hematoma caused renal infarction. Gas-forming infection of transplanted organs is associated with a poor graft outcome, which can present as a fulminant clinical course. Intravascular gas should be distinguished from collecting system gas because the former could represent extensive necrosis of the transplanted kidney.",

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AU - Hammet, Bradley K.

AU - Katz, Daniel A.

AU - Wu, You Min

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AB - We encountered a case of transplanted kidney necrosis, with computed tomography (CT) demonstrating multiple areas of intravascular gas within the allograft. The intravascular gas represented air emboli from gas liberated from fermentation by gas-forming organisms in a perinephric abscess. Arterial bleeding accelerated by the wound infection and the resultant large perinephric hematoma caused renal infarction. Gas-forming infection of transplanted organs is associated with a poor graft outcome, which can present as a fulminant clinical course. Intravascular gas should be distinguished from collecting system gas because the former could represent extensive necrosis of the transplanted kidney.

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Intravascular gas in the transplanted kidney: A sign of extensive graft necrosis

Abstract

All Science Journal Classification (ASJC) codes

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