External iliac vein to inferior vena cava bypass as an alternative management for external iliac vein stenosis and thrombosis in renal transplant recipients
An man in his early 40s suffered from end-stage renal disease and underwent living donor renal transplantation. Doppler ultrasonography before surgery showed a normal iliac artery and vein without any thrombus. There was clear evidence of urine production intraoperatively. On the 5th postoperative d...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022
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| Subjects: | |
| Online Access: | https://repository.ugm.ac.id/277400/1/e245784.full.pdf |
| _version_ | 1826050130647711744 |
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| author | Hendarso, Muhammad Radityo Ghinorawa, Tanaya Aribowo, Haryo Soerohardjo, Indrawarman |
| author_facet | Hendarso, Muhammad Radityo Ghinorawa, Tanaya Aribowo, Haryo Soerohardjo, Indrawarman |
| author_sort | Hendarso, Muhammad Radityo |
| collection | UGM |
| description | An man in his early 40s suffered from end-stage renal disease and underwent living donor renal transplantation. Doppler ultrasonography before surgery showed a normal iliac artery and vein without any thrombus. There was clear evidence of urine production intraoperatively. On the 5th postoperative day, there was no improvement in his renal function, and painless right leg oedema was noted. The clinical workup revealed pitting oedema without loss of arterial pulsation, discolouration or focal tenderness in the right leg. Serial Doppler ultrasonography examination showed thrombus progression from the right popliteal vein to the right external iliac vein around renal vein anastomosis despite anticoagulant administration with a downtrend of diuresis and worsening renal function. This condition led the patient to undergo surgical exploration on the 10th day post-transplantation. We decided to perform a thrombectomy and bypass the right external iliac vein to the inferior vena cava. |
| first_indexed | 2024-03-13T23:58:35Z |
| format | Article |
| id | oai:generic.eprints.org:277400 |
| institution | Universiti Gadjah Mada |
| language | English |
| last_indexed | 2024-03-13T23:58:35Z |
| publishDate | 2022 |
| publisher | BMJ Publishing Group |
| record_format | dspace |
| spelling | oai:generic.eprints.org:2774002022-08-04T06:30:45Z https://repository.ugm.ac.id/277400/ External iliac vein to inferior vena cava bypass as an alternative management for external iliac vein stenosis and thrombosis in renal transplant recipients Hendarso, Muhammad Radityo Ghinorawa, Tanaya Aribowo, Haryo Soerohardjo, Indrawarman Surgery An man in his early 40s suffered from end-stage renal disease and underwent living donor renal transplantation. Doppler ultrasonography before surgery showed a normal iliac artery and vein without any thrombus. There was clear evidence of urine production intraoperatively. On the 5th postoperative day, there was no improvement in his renal function, and painless right leg oedema was noted. The clinical workup revealed pitting oedema without loss of arterial pulsation, discolouration or focal tenderness in the right leg. Serial Doppler ultrasonography examination showed thrombus progression from the right popliteal vein to the right external iliac vein around renal vein anastomosis despite anticoagulant administration with a downtrend of diuresis and worsening renal function. This condition led the patient to undergo surgical exploration on the 10th day post-transplantation. We decided to perform a thrombectomy and bypass the right external iliac vein to the inferior vena cava. BMJ Publishing Group 2022 Article PeerReviewed application/pdf en https://repository.ugm.ac.id/277400/1/e245784.full.pdf Hendarso, Muhammad Radityo and Ghinorawa, Tanaya and Aribowo, Haryo and Soerohardjo, Indrawarman (2022) External iliac vein to inferior vena cava bypass as an alternative management for external iliac vein stenosis and thrombosis in renal transplant recipients. BMJ Case Reports, 15 (5). ISSN 1757790X https://casereports.bmj.com/pages/ |
| spellingShingle | Surgery Hendarso, Muhammad Radityo Ghinorawa, Tanaya Aribowo, Haryo Soerohardjo, Indrawarman External iliac vein to inferior vena cava bypass as an alternative management for external iliac vein stenosis and thrombosis in renal transplant recipients |
| title | External iliac vein to inferior vena cava bypass as an alternative management for external iliac vein stenosis and thrombosis in renal transplant recipients |
| title_full | External iliac vein to inferior vena cava bypass as an alternative management for external iliac vein stenosis and thrombosis in renal transplant recipients |
| title_fullStr | External iliac vein to inferior vena cava bypass as an alternative management for external iliac vein stenosis and thrombosis in renal transplant recipients |
| title_full_unstemmed | External iliac vein to inferior vena cava bypass as an alternative management for external iliac vein stenosis and thrombosis in renal transplant recipients |
| title_short | External iliac vein to inferior vena cava bypass as an alternative management for external iliac vein stenosis and thrombosis in renal transplant recipients |
| title_sort | external iliac vein to inferior vena cava bypass as an alternative management for external iliac vein stenosis and thrombosis in renal transplant recipients |
| topic | Surgery |
| url | https://repository.ugm.ac.id/277400/1/e245784.full.pdf |
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