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SPONTANEOUS RETROPERITONEAL BLEEDING CAUSED BY RUPTURE OF THE NATIVE KIDNEY ONCOCYTOMA TWELVE YEARS AFTER RENAL TRANSPLANTATION

ANA VRDOLJAK ; Zagreb University Hospital Center, Department of Nephrology, Arterial Hypertension,
JOSIP PASINI ; Zagreb University Hospital Center, Department of Urology, Zagreb, Croatia
ŽELJKO KAŠTELAN ; Zagreb University Hospital Center, Department of Urology, Zagreb, Croatia
TVRTKO HUDOLIN ; Zagreb University Hospital Center, Department of Urology, Zagreb, Croatia
PETAR KES ; Zagreb University Hospital Center, Department of Nephrology, Arterial Hypertension,
NIKOLINA BAŠIć-JUKIć ; Zagreb University Hospital Center, Department of Nephrology, Arterial Hypertension,

Abstract

Renal transplantation is the method of choice for renal replacement therapy in the majority of patients. Immunosuppressive drugs may increase the risk of developing malignancies. We present a case of a patient having undergone different renal replacement methods over 25 years. He had good graft function at 12 years of transplantation. Development of spontaneous retroperitoneal hematoma caused by rupture of the native kidney oncocytoma was complicated with sepsis and deterioration of graft function. We emphasize the importance of regular ultrasonography follow-up of native kidney, which is challenging because of ibrous changes.

Keywords

renal transplantation; bleeding; tumor; oncocytoma; ultrasonography

Hrčak ID:

97595

URI

https://hrcak.srce.hr/97595

Publication date:

14.2.2013.

Article data in other languages: croatian

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