Assuntos
Pesquisas sobre Atenção à Saúde , Transplante de Órgãos/normas , Padrões de Prática Médica , Neoplasias da Próstata/diagnóstico , Neoplasias da Próstata/terapia , Adulto , Humanos , Masculino , Pessoa de Meia-Idade , Palpação/métodos , Avaliação de Programas e Projetos de Saúde , Antígeno Prostático Específico/análise , Reto , Sistema de Registros/estatística & dados numéricosRESUMO
Transplant-related aneurysms are an unusual complication following pancreas transplantation. We present a case of a pseudoaneurysm developing in a recipient 6 months after bladder-drained pancreas transplantation. The pseudoaneurysm was incidentally found during ultrasonographic evaluation in preparation for a pancreas biopsy. Angiography demonstrated that the origin of the pseudoaneurysm was located near the base of the Y-graft/iliac artery anastomosis. Surgical repair was performed using standard vascular techniques. The patient subsequently recovered without loss of graft exocrine or endocrine function. Review of the literature revealed that aneurysms of various types associated with pancreas transplantation have a high incidence of graft loss and contribute significantly to patient morbidity. However, with prompt diagnostic and surgical management, non-infected pseudoaneurysms can be repaired without loss of pancreatic function.
Assuntos
Falso Aneurisma/etiologia , Artéria Ilíaca , Transplante de Pâncreas , Pâncreas/cirurgia , Adulto , Falso Aneurisma/diagnóstico por imagem , Feminino , Humanos , Complicações Pós-Operatórias , UltrassonografiaRESUMO
The anatomical location of a renal allograft places the kidney in jeopardy during radiation therapy of pelvic and perineal malignancies. Alternative choices include avoiding irradiation, altering the dose, or excluding the graft from the field of radiation, with the risk of compromising the efficacy of the treatment. Transplantation of the graft out of the field of irradiation is another option. We describe the management, by allograft autotransplantation, of a renal transplant patient with an invasive carcinoma of the vulva for which postoperative inguinopelvic radiotherapy was advocated. This report underlines the technical difficulties encountered during reoperation on an allograft and the need for versatility in vascular and urologic reconstructions. With these reservations, autotransplantation permits the recovery of a normal renal function and is an option to consider in the salvage of a kidney transplant.
