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Case Reports in Transplantation
Volume 2017 (2017), Article ID 9158237, 4 pages
https://doi.org/10.1155/2017/9158237
Case Report

Spontaneous Renal Allograft Rupture Caused by Acute Tubular Necrosis: A Case Report and Review of the Literature

Rabindranath Tagore International Institute of Cardiac Sciences, Narayana Health Hospitals, 124 EM Bypass, Mukundapur, Kolkata, India

Correspondence should be addressed to Sharmila Thukral; moc.liamg@larkuhtalimrahs

Received 9 April 2017; Revised 12 May 2017; Accepted 14 June 2017; Published 20 July 2017

Academic Editor: Henkie P. Tan

Copyright © 2017 Deepak Shankar Ray and Sharmila Thukral. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Renal allograft rupture (RAR) is a rare but lethal complication of renal transplantation. It potentially threatens graft and patient survival. RAR is frequently associated with acute rejection, but other causes like renal vein thrombosis and acute tubular necrosis have also been observed. Most commonly a graft nephrectomy is required, but graft repair can also be attempted in selected cases to salvage the graft. Herein, we describe a rare case of spontaneous renal allograft rupture in the early posttransplant period due to acute tubular necrosis. A 42-year-old male, living donor renal allograft recipient, experienced RAR on the sixth posttransplant day. Surgical exploration showed two lacerations of 10 cm and 5 cm length at the upper and mid pole of the kidney. Histologically, the graft demonstrated acute tubular injury; no features of humoral or cellular rejection were identified. The successful management of this complication resulted in the salvage of the patient and the graft. This case demonstrates that early diagnosis and prompt treatment of a life-threatening RAR can salvage the graft.