Journal List > J Korean Soc Transplant > v.24(3) > 1034313

TOOLS
Choi, Hwang, Jang, Han, Park, Kim, and Kim: Late Spontaneous Subcapsular Hematoma in an Allograft Kidney
Case Report

J Korean Soc Transplant 2010;24(3):210-213.

Published online: 10 September 2010

DOI: https://doi.org/10.4285/jkstn.2010.24.3.210

Late Spontaneous Subcapsular Hematoma in an Allograft Kidney

Go Choi, M.D.1, 3, Eunah Hwang, M.D.1, 3, Mihyun Jang, M.D.1, 3, Seungyeup Han, M.D.1, 3, Sungbae Park, M.D.1, 3, Hyunchul Kim, M.D.1, 3, Seehyung Kim, M.D.2

1Departments of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea

2Radiology, Keimyung University School of Medicine, Daegu, Korea

3Kidney Institute, Keimyung University School of Medicine, Daegu, Korea

책임저자：김현철, 대구시 중구 달성로 216 계명대학교 동산의료원 신장내과, 700-712 Tel: 053-250-7913, Fax: 053-254-8168 E-mail: np@dsmc.or.kr

Copyright © 2010 The Korean Society for Transplantation

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A spontaneous subcapsular hematoma in an allograft kidney is a rare condition with only a few cases reported in the literature. Common causes of subcapsular hematoma of an allograft include trauma, post-biopsy status, occult malignancy, vascular diseases, and infection. Chronic allograft dysfunction related to spontaneous subcapsular hematoma is extremely rare. We report a case of spontaneous subcapsular hematoma in a patient who underwent a renal transplant 14 years ago in which we could not find an associated condition.

Keywords: Hematoma, Grafting kidney, Transplantation

References

1). Koushik RS, Ibrahim HN. Spontaneous subcapsular hematoma in chronic kidney disease. J Nephrol. 2006; 19:391–3.
2). Haydar A, Bakri RS, Prime M, Goldsmith DJ. Page kidney – a review of the literature. J Nephrol. 2003; 16:329–33.
3). Byun SW, Lee JY, Park JS, Park SK. Spontaneous subcapsular hematoma on a transplanted kidney. Korean J Nephrol. 2009; 28:469–73. (변승운, 이지영, 박정식, 박수길. 자발적 이식 신 피막하 혈종 1예. 대한신장학회지 2009;28: 469–73.).
4). Yang MH, Loong CC, Wu CW, Lui WY. Late spontaneous kidney graft decapsulating after administration of sirolimus in a recipient with chronic hepatitis B and C infection: a case report. Transplant Proc. 2008; 40:2437–9.
5). Albi G, del Campo L, Tagarro D. Wünderlich's syndrome: causes, diagnosis and radiological management. Clin Radiol. 2002; 57:840–5.
crossref
6). Zhang JQ, Fielding JR, Zou KH. Etiology of spontaneous perirenal haemorrhage: a metaanalysis. J Urol. 2002; 167:1593–6.
7). Kamar N, Sallusto F, Rostaing L. Acute Page kidney after a kidney allograft biopsy: successful outcome from observation and medical treatment. Transplantation. 2009; 87:453–4.
crossref
8). Cromie WJ, Jordan MH, Leapman SB. Pseudorejection: the Page kidney phenomenon in renal allografts. J Urol. 1976; 116:658–9.
crossref
9). Dempsey J, Gavant ML, Cowles SJ, Gaber AO. Acute Page kidney phenomenon: a cause of reversible allograft failure. South Med J. 1993; 86:574–7.
10). Casey RG, Murphy CG, Hickey DP, Creagh TA. Wünderlich's syndrome, an unusual cause of the acute abdomen. Eur J Radiol Extra. 2006; 57:91–3.

Fig. 1.
Non-contrast computed tomography scan (CT) shows a subcapsular hematoma (arrow) in the transplanted kidney. No mass lesion or cyst was found on the CT scan.
jkstn-24-210f1.tif
TOOLS
Similar articles