Remission of aseptic inflammatory ascites after nephrectomy of a failed allograft.
Am J Kidney Dis
; 50(4): 645-8, 2007 Oct.
Article
em En
| MEDLINE
| ID: mdl-17900465
ABSTRACT
There are multiple possible causes of ascites in patients with end-stage renal disease on hemodialysis therapy. In this report, we describe a patient with chronic hepatitis C infection who presented with refractory inflammatory ascites, along with cachexia, hypoalbuminemia, and erythropoietin resistance associated with the chronic inflammatory state induced by a failed kidney transplant. Evaluation showed only mild hepatic fibrosis, absence of portal hypertension, and no other identifiable cause of the ascites. Furthermore, the inflammatory ascites did not respond to antibiotic therapy, but promptly resolved, along with the other manifestations of the chronic inflammatory state, after transplant nephrectomy. This report describes a novel cause for refractory inflammatory ascites in a patient with a failed kidney transplant and emphasizes the importance of transplant nephrectomy.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ascite
/
Assepsia
/
Transplante de Rim
/
Rejeição de Enxerto
/
Falência Renal Crônica
/
Nefrectomia
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Am J Kidney Dis
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Estados Unidos