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Abstract

Traumatic injury to renal allograft, literature review and case series

In the current era of medicine, more transplants are performed than ever before. Many kidney transplant recipients are elderly with numerous comorbidities. There has been a rise in trauma related injuries around the world. Hence it can be argued that we are more likely to see traumatic injuries in renal transplant recipients. Due to multiple medications, comorbidities and extra peritoneal location of the transplant kidney, the transplant graft is likely to get involved and its management would not be straightforward. There is a lack of consensus regarding the management of allograft following trauma in kidney transplant recipients. A general principle is life before the graft; however in situations where patient is stable and there is an isolated injury to the graft, a careful evidence-based decision is needed to preserve residual renal function. Transplant remains a multidisciplinary speciality, and these patients benefit from combined management involving surgeons, nephrologist, interventional radiologists and pharmacists. In general, most of these grafts can be salvaged by limited radiological and surgical intervention with excellent preservation of graft function.


Author(s):

Poyyamozhi Rajagopal, Shafiq Ahmad Chughtai, Shakeeb Khan, Ahmed Ali



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