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Case Reports: Rare disease
Page phenomenon in a transplanted kidney: is it salvageable?
  1. Rafael Cisneros1,
  2. Amit Nair2,
  3. Randeep Kashyap2 and
  4. Karen Pineda-Solis2
  1. 1School of Medicine and Dentistry, University of Rochester, Rochester, New York, USA
  2. 2Transplant Surgery, University of Rochester Medical Center, Rochester, New York, USA
  1. Correspondence to Rafael Cisneros; Rafa0794{at}gmail.com

Abstract

A male in his late 70s with a history of an uncomplicated kidney transplantation 20 years prior was brought to the Emergency Department after experiencing blunt abdominal trauma following a motor vehicle collision. Imaging revealed a large perinephric haematoma, a retroperitoneal haematoma and multiple fractures. He was admitted to the intensive care unit where a renal haematoma was found to be expanding with ultrasonography (US) and developed renal dysfunction including anuria and hyperkalemia. His creatinine rose to twice his baseline and Doppler US showed elevated resistive indices, confirming extrinsic compression and causing a Page phenomenon. An open surgical exploration through the upper aspect of his Gibson incisional scar was performed followed by evacuation of the haematoma. An intraoperative US was done demonstrating good flow in the renal vessels. His postoperative course was uncomplicated and was discharged home with renal function back to baseline. On follow-up, he continued to have a good renal function.

  • Transplantation
  • Ultrasonography
  • Renal transplantation
  • Dialysis
  • Renal medicine

https://doi.org/10.1136/bcr-2022-249625

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    Footnotes

    • Twitter @kareninaqx

    • Contributors KP-S first proposed the idea to report this rare case seen at our institution to Mr. RC. Mr. RC was the primary author involved in drafting the case report, acquisition of data, literature review and analysis/interpretation of data. Mr. RC is the guarantor who controlled the decision to publish and accepts full responsibility for the finished case report. Dr KP-S also aided in several aspects of the case report including analysis and/or interpretation of data, literature search and revision of the manuscript critically for important intellectual content. Dr KP-S, Dr RK and Dr AN were the primary team involved in the management of this patient during their hospitalisation. All authors approved the version of the case report to be published.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.