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Ascites and Kidney Transplantation: Case Report and Critical Appraisal of the Literature

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Abstract

Ascites is an ominous finding after kidney transplantation. It occurs either as a result of technical complication of the transplant procedure or from medical reasons that include portal hypertension, graft rejection and other causes (1, 2). Here in are described a case of ascites that occurred after successful kidney transplantation. Kidney re-transplantation alone or combined heart and kidney transplantation were possible options for him. Finally, a review of published cases of ascites that occurred after kidney transplantation and treatment of putative nephrogenic ascites (NA) is presented.

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References

  1. Popli S, Chen W, Nakamoto S, Daugirdas J, Cespedes L, Ing T (1981) Hemodialysis ascites in anephric patients. Clin Nephrol 15(4):203–205

    PubMed  CAS  Google Scholar 

  2. Horn S, Holzer H, Horina JH (1996) Spontaneous bacterial peritonitis in a patient with nephrogenic ascites during an episode of acute renal transplant rejection. Am J Kidney Dis 27(3):441–443

    PubMed  CAS  Google Scholar 

  3. DeCamp MM, Tinley NL (1988) Late development of intractable lymphocele after renal transplantation. Transplant Proc 20(1):105–109

    PubMed  CAS  Google Scholar 

  4. Koene RA, Skotnicki SH, Debruyne FM (1979) Spontaneous renal decapsulation with excessive fluid leakage after transplantation. N Engl J Med 300(18):1030–1031

    Article  PubMed  CAS  Google Scholar 

  5. Singh S, Aoki S, Mitra S, Berman LB (1973) An unusual manifestation of urinary leak in a renal allograft recipient. JAMA 226(7):777–778

    Article  PubMed  CAS  Google Scholar 

  6. Kulkarni S, Burns A, Al-Akraa M (2004) Severe ascites following renal transplant biopsy caused by a rupture of subcapsular lymphocele: treated successfully by retroperitonealization. Nephrol Dial Transplant 19(4):1022–1023

    Article  PubMed  Google Scholar 

  7. Marcel B., Koff R, Cho SI (1977) Ascites following renal transplantation. Am J Dig Dis 22(2):137–139

    Article  PubMed  CAS  Google Scholar 

  8. Franz M, Horl W (1997) The patient with end-stage renal failure and ascites. Nephrol Dial Transplant 12(5):1070–1078

    Article  PubMed  CAS  Google Scholar 

  9. Lammert F, Nguyen HN, Strochbach P, Wylenzek M, Kiedorf HP, Matern S (2001) Therapy of refractory ascites with ultrafiltration and peritoneal reinfusion in a patient with right ventricular dilated cardiomyopathy. Dig Dis Sci 46(3):499–503

    Article  PubMed  CAS  Google Scholar 

  10. Ronco C, Ricci Z, Brendolan A, Bellomao R, Bedogni (2004) Ultrafiltration in patients with hypervolemia and congestive heart failure. Blood Purif 22(1):150–163

    Article  PubMed  CAS  Google Scholar 

  11. Han SH, Reynolds TB, Fong TL (1998) Nephrogenic ascites. Analysis of 16 cases and review of literature. Medicine 77(4):233–245

    Article  PubMed  CAS  Google Scholar 

  12. Rigatto C, Parfrey P, Foley R, Negrijn C, Tribula C, Jeffery J (2002) Congestive heart failure in renal transplant patients: Risk factors, outcomes and relationship with ischemic heart disease. J Am Soc Nephrol 13:1084–1090

    PubMed  Google Scholar 

  13. Ing TS, Daugirdas JT, Popli S, et al. (1981) Treatment of refractory ascites with mainenance peritoneal dialysis. Clin Nephrol 15(4):198–202

    PubMed  CAS  Google Scholar 

  14. Gluck Z, Nolph KD (1987) Ascites associated with end-stage renal disease. Am J Kidney Dis 10(1):9–18

    PubMed  CAS  Google Scholar 

  15. Harber M, Page C, Streather C, O’Doherty M, Barton I (1994) Restoration of peritoneal lymphatic drainage leading to spontaneous resolution of hemodialysis ascites. Nephrol Dial Transplant 9(6):716–717

    PubMed  CAS  Google Scholar 

  16. Singh S, Mitra S, Berman LB (1974) Ascites in patients on maintenance hemodialysis. Nephron 12(2):114–120

    PubMed  CAS  Google Scholar 

  17. Gotloib L, Servadio C (1976) Ascites in patients undergoing maintenance hemodialysis. Am J Med 61(4):465–470

    Article  PubMed  CAS  Google Scholar 

  18. Clinque TJ, Letteri JM (1973) Idiopathic ascites in chronic renal failure. NY State J Med 73(6):781–784

    Google Scholar 

  19. Feingold LN, Gutman RA, Walsh FX, Gunnells JC (1974) Control of cahexia and ascites in hemodyalisis patients by binephrectomy. Arch Intern Med 134(6):989–997

    Article  PubMed  CAS  Google Scholar 

  20. Holm A, Rutsky EA, Aldrete JS (1989) Short- and long-term effectiveness, morbidity and mortality of peritoneo-venous shunt inserted to treat massive refractory ascites of nephrogenic origin analysis of 14 cases. Am Surg 55(11):645–652

    PubMed  CAS  Google Scholar 

  21. Wooldridge TD, Bower JD, Holbert RD, Ruvinski MJ (1976) Le Veen shunt (LS): long-term therapy for idiopathic ascites of chronic renal failure. Proc Clin Dial Transplant Forum 6:36–41

    PubMed  CAS  Google Scholar 

  22. Daimon S, Yasuhara S, Saga T, Tokunaga S, Chikaki H, Dan K (1998) Efficacy of extracorporeal ultrafiltration of ascitic fluid as a treatment of refractory ascites. Nephrol Dial Transplant 13(10):2617–2623

    Article  PubMed  CAS  Google Scholar 

  23. Okada K, Takahashi S, Higuchi T, Maeda H (1993) Long-term effect of reinfusion of unmodified autogenous peritoneal fluid combined with hemodialysis in a patient with dialysis-related ascites. Nephron 65(3):474–475

    PubMed  CAS  Google Scholar 

  24. Pascual JF, Melendez MT, Rivera-Viera JF (1979) Local steroid therapy of refractory ascites associated with dialysis. J Pediatr 94(2):319–320

    Article  PubMed  CAS  Google Scholar 

  25. Roy-Chaudhury P, Edward N (1996) ACE inhibitors in the management of hemodialysis ascites. Nephrol Dial Tgransplant 9(11):1695–1696

    Google Scholar 

  26. Craig R, Sarberg M, Ivanovic P, Rice L, Dordal E (1974) Nephrogenic ascites. Arch Intern Med 134(2):276–279

    Article  PubMed  CAS  Google Scholar 

  27. Wang F, Pillay VK, Ing TS, Armbruster KF, Rosenberg JC (1974) Ascites in patients treated with maintenance hemodialysis. Nephron 12(2):105–113

    Article  PubMed  CAS  Google Scholar 

  28. Melero M, Rodriguez M, Araque A, Alamo C, Andres A, Praga M (1995) Idiopathic dyalisis ascites in the nineties: resolution after renal transplantation. Am J Kidney Dis 26(4):668–670

    PubMed  CAS  Google Scholar 

  29. Cintin C, Joffe P (1994) Nephrogenic ascites. Case report and review of literature. Scand J Urol Nephrol 28(3):311–314

    PubMed  CAS  Google Scholar 

  30. Cadnapaphornchai P, Kuruvila KC, Holmes J, Schrier RW (1974) Analysis of 5 year experience of home dialysis as a treatment modality for patients with end-stage renal failure. Am J Med 57(5):789–799

    Article  PubMed  CAS  Google Scholar 

  31. Moore ES, Chung EE, Cevallos EE (1977) Intractable ascites in a child with peritoneal dialysis. J Pediatr 91(6):949– 951

    Article  PubMed  CAS  Google Scholar 

  32. Moreno-Gonzalez E, Meneu-Diaz JC, Garcia G, Jimenez R, Loinaz SC, Gomez SR, Abradelo M, Perez CF, Moreno E-O, Marin LM, Jimienz G, Calvo PJ (2003) Simultaneous liver-kidney transplant for combined renal and hepatic end-stage disease. Transplant Proc 35(5):1863–1865

    Article  PubMed  CAS  Google Scholar 

  33. Leeser DB, Jeevanandam V, Furukawa S, Eisen H, Mather P, Silva P, Guy S, Foster CE (2001) Simultaneous heart and kidney transplantation in patients with end-stage heart and renal failure. Am J Transplant 1(1):89–92

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Maricopa Integrated Health System, 2601 East Roosevelt, Phoenix, Arizona, 85008, USA

    Marko Markov & Abdul Nadir

  2. St. Luke’s Medical Center, Aurora Health Care System, Milwaukee, Wisconsin, 53215, USA

    David H. Van Thiel & Abdul Nadir

  3. 1925 East Everett Drive, Phoenix, Arizona, 85022, USA

    Abdul Nadir

Authors
  1. Marko Markov
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  2. David H. Van Thiel
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  3. Abdul Nadir
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Correspondence to Abdul Nadir.

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Markov, M., Thiel, D.H.V. & Nadir, A. Ascites and Kidney Transplantation: Case Report and Critical Appraisal of the Literature. Dig Dis Sci 52, 3383–3388 (2007). https://doi.org/10.1007/s10620-006-9727-7

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  • DOI: https://doi.org/10.1007/s10620-006-9727-7

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