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Brown SA, Dean PG, Hickson LJ. Acute renal allograft dysfunction due to cecal volvulus: a case report. Springerplus. 2015;4:445doi: 10.1186/s40064-015-1229-7.
Brown, S. A., Dean, P. G., & Hickson, L. J. (2015). Acute renal allograft dysfunction due to cecal volvulus: a case report. SpringerPlus, 4445. https://doi.org/10.1186/s40064-015-1229-7
Brown, Sherry-Ann N, et al. "Acute renal allograft dysfunction due to cecal volvulus: a case report." SpringerPlus vol. 4 (2015): 445. doi: https://doi.org/10.1186/s40064-015-1229-7
Brown SA, Dean PG, Hickson LJ. Acute renal allograft dysfunction due to cecal volvulus: a case report. Springerplus. 2015 Aug 22;4:445. doi: 10.1186/s40064-015-1229-7. eCollection 2015. PMID: 26312210; PMCID: PMC4546076.
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Springerplus. 2015 Aug 22;4:445. doi: 10.1186/s40064-015-1229-7. eCollection 2015.

Acute renal allograft dysfunction due to cecal volvulus: a case report.

SpringerPlus

Sherry-Ann N Brown, Patrick G Dean, LaTonya J Hickson

Affiliations

  1. Division of Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN USA.
  2. Division of Transplantation Surgery, Department of Surgery, Mayo Clinic, Rochester, MN USA.
  3. Division of Nephrology and Hypertension, Department of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905 USA.

PMID: 26312210 PMCID: PMC4546076 DOI: 10.1186/s40064-015-1229-7

Abstract

PURPOSE: Among kidney transplant recipients with acute kidney injury, the differential diagnosis must be broadened to include conditions such as rejection, immunocompromised host infections, anatomic pathologies, and recurrent or de novo glomerular diseases. In this case report, we describe an unusual cause of acute renal allograft injury due to external compression of the allograft ureter.

METHODS: Retrospective review; case report.

RESULTS: The patient developed acute kidney injury of the renal allograft due to external compression of the allograft ureter coincident with a cecal volvulus. The patient underwent lysis of adhesions, right hemicolectomy, and end ileostomy creation with resolution of acute kidney injury.

CONCLUSIONS: Cecal volvulus is an uncommon cause of bowel obstruction and is often associated with adhesions following abdominal surgery. To our knowledge, cecal volvulus has not previously been reported as a direct contributor to acute kidney injury. This case highlights the need for a systematic approach to the patient with acute kidney injury and the special considerations involved in the diagnosis of renal failure in the kidney transplant population.

Keywords: Acute kidney injury; Kidney transplant; Ureteral obstruction; Volvulus

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