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Graft Intolerance Syndrome in Children Treated with Kidney Embolization: A Case Report
Department of Pediatrics, Pediatric Kidney Transplant Unit, Cayetano Heredia National Hospital, Lima, Peru
Department of Pediatrics, Pediatric Kidney Transplant Unit, Cayetano Heredia National Hospital, Lima, Peru
Department of Pediatrics, Pediatric Kidney Transplant Unit, Cayetano Heredia National Hospital, Lima, Peru
Department of Pediatrics, Pediatric Kidney Transplant Unit, Cayetano Heredia National Hospital, Lima, Peru
Department of Radiology Center for Radiological and Endoscopic Interventions (REI), Lima, Peru
Department of Surgery Renal Transplant Unit, Cayetano Heredia Hospital, Lima, Peru
- 1 Department of Pediatrics, Pediatric Kidney Transplant Unit, Cayetano Heredia National Hospital, Lima, Peru
- 2 Department of Pediatrics, Pediatric Kidney Transplant Unit, Cayetano Heredia National Hospital, Lima, Peru
- 3 Department of Pediatrics, Pediatric Kidney Transplant Unit, Cayetano Heredia National Hospital, Lima, Peru
- 4 Department of Pediatrics, Pediatric Kidney Transplant Unit, Cayetano Heredia National Hospital, Lima, Peru
- 5 Department of Radiology Center for Radiological and Endoscopic Interventions (REI), Lima, Peru
- 6 Department of Surgery Renal Transplant Unit, Cayetano Heredia Hospital, Lima, Peru
Open Journal of Nephrology·Volume 10 (2020)·Pages 361–366·Published 15 October 2020·DOI10.4236/ojneph.2020.104035
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Abstract
During post-transplant evolution, adolescents may present problems with adherence to treatment, becoming a high-risk group for graft loss. Here, we report a case which describes an adolescent patient who lost a graft due to humoral rejection associated with lack of adherence to treatment. During chronic peritoneal dialysis therapy, the patient developed pain and increased volume in the graft area, fever, gross hematuria and leukocyturia upon urine examination. The patient was diagnosed with graft immune intolerance syndrome and transplantectomy was suggested. Finally, a graft embolization was performed. A decrease in symptoms was observed until the patient became asymptomatic.
KeywordsKidney TransplantationChildrenEmbolization TherapeuticGraft Rejection
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