METHODS: We describe a 63-year-old man who underwent kidney transplantation (left iliac fossa). Four days after transplantation, a graftectomy was done due to graft rupture caused by renal vein thrombosis. After imaging studies, a diagnosis of MTS was established. The patient had no typical symptoms of MTS. However, an incidence of right lower limb thrombosis was observed, and due to vertebral discopathy, the patient underwent surgery with implantation of a vertebral implant.
RESULTS: After a successful second transplantation on the right side, incidents of thrombosis were observed: superficial thrombosis of the upper limbs and massive deep vein thrombosis of the right lower limb. Thrombophilia was recognized, the graft function is stable, and anticoagulation therapy is being continued.
CONCLUSIONS: Asymptomatic MTS in the case of coincidence of other risk factors, such as coagulation disorders, history of vertebral operation, and additional pressure of the graft, can result in graft failure.
方法:我们描述了一名63岁的男子,他接受了肾脏移植(左髂窝)。移植后四天,由于肾静脉血栓形成引起的移植物破裂,进行了移植物切除术。影像学检查后,建立了MTS的诊断。患者没有典型的MTS症状。然而,观察到右下肢血栓的发生率,由于脊椎的交错觉,患者接受了植入椎体植入物的手术。
结果:在右侧成功进行第二次移植后,观察到血栓形成事件:上肢浅表血栓形成和右下肢大量深静脉血栓形成。血栓形成被确认,移植物功能稳定,抗凝治疗仍在继续。
结论:在其他危险因素一致的情况下,无症状的MTS,如凝血障碍,脊椎手术史,和移植物的额外压力,可导致移植物失败。