Hydronephrosis in a pregnant renal transplant patient

Mark, P. , Mccrea, I.V., Baxter, G.M. and McMillan, M. (2009) Hydronephrosis in a pregnant renal transplant patient. Transplantation Proceedings, 41(9), pp. 3962-3963. (doi:10.1016/j.transproceed.2009.05.031)

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Although pregnancy can cause hydronephrosis in native kidneys, renal transplant dysfunction during pregnancy due to obstruction is rare. A 22-week pregnant renal transplant patient presented with deteriorating renal function (serum creatinine 5.22 mg/dL from 2.07 mg/dL 3 weeks previously). Ultrasound showed transplant hydronephrosis with the graft compressed between the gravid uterus and liver. Percutaneous nephrostomy was placed with improvement in graft function. The nephrostomy remained in situ for the rest of the pregnancy. The nephrostomy was removed postpartum with no recurrence of hydronephrosis and subsequent transplant biopsy showed no evidence of rejection. The gravid uterus may obstruct a transplanted kidney.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Baxter, Dr Grant and McMillan, Dr Margaret and Mark, Dr Patrick
Authors: Mark, P., Mccrea, I.V., Baxter, G.M., and McMillan, M.
Subjects:R Medicine > R Medicine (General)
College/School:College of Medical Veterinary and Life Sciences > Institute of Cardiovascular and Medical Sciences
College of Medical Veterinary and Life Sciences
Journal Name:Transplantation Proceedings
ISSN (Online):1873-2623
Published Online:14 November 2009

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