{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T02:25:40Z","timestamp":1744943140382},"reference-count":15,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Transplantation"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Rupture of renal allograft is a rare and serious complication of transplantation that is usually attributed to acute rejection, acute tubular necrosis, or renal vein thrombosis.<jats:italic>Case Presentation<\/jats:italic>. LD, a 26-year-old male with established renal failure, underwent deceased donor transplantation using kidney from a 50-year-old donor with acute kidney injury (Cr 430\u2009mmol\/L). LD had a stormy posttransplant recovery and required exploration immediately for significant bleeding. On day three after transplant, he developed pain\/graft swelling and another significant haemorrhage with cardiovascular compromise which did not respond to aggressive resuscitation. At reexploration, the renal allograft was found to have a longitudinal rupture and was removed. Histology showed features of type IIa Banff 97 acute vascular rejection, moderate arteriosclerosis, and acute tubular necrosis.<jats:italic>Conclusion<\/jats:italic>. Possible ways of avoiding allograft rupture include use of well-matched, good quality kidneys; reducing or managing risk factors that would predispose to delayed graft function; ensuring a technically satisfactory transplant procedure with short cold and warm ischemia times; and avoiding large donor-recipient age gradients.<\/jats:p>","DOI":"10.1155\/2015\/686584","type":"journal-article","created":{"date-parts":[[2015,1,21]],"date-time":"2015-01-21T21:01:45Z","timestamp":1421874105000},"page":"1-3","source":"Crossref","is-referenced-by-count":1,"title":["Rupture of Renal Transplant"],"prefix":"10.1155","volume":"2015","author":[{"given":"Shona","family":"Baker","sequence":"first","affiliation":[{"name":"Department of Surgery, Derriford Hospital, Plymouth Hospitals NHS Trust, Plymouth PL6 8DH, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Popescu","sequence":"additional","affiliation":[{"name":"Department of Surgery, Derriford Hospital, Plymouth Hospitals NHS Trust, Plymouth PL6 8DH, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob A.","family":"Akoh","sequence":"additional","affiliation":[{"name":"Department of Surgery, Derriford Hospital, Plymouth Hospitals NHS Trust, Plymouth PL6 8DH, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2004.10.080"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/s0041-1345(99)00277-8"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/s0041-1345(00)01801-7"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/512893"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2005.07.054"},{"issue":"2","key":"6","first-page":"171","volume":"83","year":"1991","journal-title":"Journal of the National Medical Association"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/s0272-6386(99)70368-9"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/s0041-1345(02)03781-8"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-0012.2003.00027.x"},{"issue":"3","key":"10","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1681\/ASN.V123589","volume":"12","year":"2001","journal-title":"Journal of the American Society of Nephrology"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.4103\/1319-2442.113846"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-013-2038-1"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(93)90236-4"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(78)90200-5"},{"key":"15","first-page":"753","volume":"55","year":"2003","journal-title":"Chirurgia Italiana"}],"container-title":["Case Reports in Transplantation"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crit\/2015\/686584.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crit\/2015\/686584.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crit\/2015\/686584.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,27]],"date-time":"2022-04-27T05:19:58Z","timestamp":1651036798000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/crit\/2015\/686584\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":15,"alternative-id":["686584","686584"],"URL":"https:\/\/doi.org\/10.1155\/2015\/686584","relation":{},"ISSN":["2090-6943","2090-6951"],"issn-type":[{"value":"2090-6943","type":"print"},{"value":"2090-6951","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}