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1.
Chinese Journal of Traumatology ; (6): 311-314, 2008.
Artigo em Inglês | WPRIM | ID: wpr-239828

RESUMO

Massive hemorrhage from infected anastomosed site between the graft artery and the external iliac artery is one of the most serious complications of renal transplantation. Clinically, it is a rare but fatal occasion. We reported here one case of hemorrhage with infection in the iliac artery anastomosed site treated successfully with hypogastric artery autograft interposition in March 2003.


Assuntos
Adulto , Humanos , Masculino , Anastomose Cirúrgica , Artérias , Transplante , Infecções Bacterianas , Hemorragia , Cirurgia Geral , Artéria Ilíaca , Cirurgia Geral , Transplante de Rim , Complicações Pós-Operatórias , Veias Renais , Cirurgia Geral , Transplante Autólogo
2.
Chinese Journal of Urology ; (12)2000.
Artigo em Chinês | WPRIM | ID: wpr-676198

RESUMO

Objective To investigate the therapeutic method of metabolic acidosis in long-term sur- vival patients undergoing simultaneous pancreas and kidney transplantation.Methods A 45-year-old fe- male patient,who had undergone simultaneous pancreas and kidney transplantation(due to diabetic ne- phropathy and uremia)with bladder drainage 2 years before,developed severe metabolic acidosis,and thus underwent surgical conversion from bladder to ileal drainage.The procedure was as follows.The stoma of duo- denocystostomy was isolated and resected.The site of cystostomy was closed in two layers.The graft duode- num was then anastomosed to a loop of the recipient's ileum,which was proximal 40 cm from the ileocecum in a side-to-side manner.Results The metabolic acidosis resolved postoperatively.The patient received conventional immunosuppressants.The hospital stay was 30d.Follow-up of 4 years showed normal pancreas and kidney functions.Conclusions Conversion from bladder to ileal drainage is safe and effective for metabolic acidosis related to the exocrine secretions of bladder drained pancreas graft in simultaneous pancre- as and kidney transplant recipients.

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