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Deceased donor kidney transplant complicated by spontaneous rupture of native kidney in a HIV patient

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Abstract

Spontaneous native kidney rupture (SNKR) is a rare occurrence, commonly associated with underlying renal tumors or acquired renal cystic disease in both the kidney transplant (KT) and non-KT populations. Herein, we present a 65-year-old African American man who experienced a non-malignant SNKR 6 days after a deceased donor KT and underwent emergent native nephrectomy. The patient’s hospital course was complicated by thrombocytopenia and refractory hypertension. He experienced delayed graft function and was maintained on hemodialysis until post-operative day 30. This case demonstrates an unusual presentation of SNKR in the immediate post-KT setting and illustrates the clinical decision-making algorithm.

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Authors and Affiliations

  1. Department of Pharmacy, Hartford Hospital, Hartford, CT, USA

    Stephanie Lombardi & Heather L. Kutzler

  2. Hartford Hospital Transplant and Comprehensive Liver Center, 85 Seymour Street, Suite 320, Hartford, CT, 06106, USA

    Heather L. Kutzler, Bejon Maneckshana, Patricia Sheiner, Caroline Rochon & Oscar K. Serrano

  3. Department of Pathology and Laboratory Medicine, Hartford Hospital, Hartford, CT, USA

    Sara Moradi

  4. Department of Surgery, University of Connecticut School of Medicine, Farmington, CT, USA

    Bejon Maneckshana, Patricia Sheiner, Caroline Rochon & Oscar K. Serrano

Authors
  1. Stephanie Lombardi
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  2. Heather L. Kutzler
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  3. Sara Moradi
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  4. Bejon Maneckshana
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  5. Patricia Sheiner
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  6. Caroline Rochon
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  7. Oscar K. Serrano
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Correspondence to Oscar K. Serrano.

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Lombardi, S., Kutzler, H.L., Moradi, S. et al. Deceased donor kidney transplant complicated by spontaneous rupture of native kidney in a HIV patient. CEN Case Rep 9, 182–185 (2020). https://doi.org/10.1007/s13730-020-00453-1

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  • DOI: https://doi.org/10.1007/s13730-020-00453-1

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