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자료유형
학술저널
저자정보
Jae Jun Lee (Division of Kidney and Pancreas Transplantation Department of Surgery Asan Medical Center University of Ulsan College of Medicine Seoul Korea) Jin-Myung Kim (Division of Kidney and Pancreas Transplantation Department of Surgery Asan Medical Center University of Ulsan College of Medicine Seoul Korea) Youngmin Ko (Division of Kidney and Pancreas Transplantation Department of Surgery Asan Medical Center University of Ulsan College of Medicine Seoul Korea) Hye Eun Kwon (Division of Kidney and Pancreas Transplantation Department of Surgery Asan Medical Center University of Ulsan College of Medicine Seoul Korea) Joo Hee Jung (Division of Kidney and Pancreas Transplantation Department of Surgery Asan Medical Center University of Ulsan College of Medicine Seoul Korea) Hyunwook Kwon (Division of Kidney and Pancreas Transplantation Department of Surgery Asan Medical Center University of Ulsan College of Medicine Seoul Korea) Young Hoon Kim (Division of Kidney and Pancreas Transplantation Department of Surgery Asan Medical Center University of Ulsan College of Medicine Seoul Korea) Sung Shin (Division of Kidney and Pancreas Transplantation Department of Surgery Asan Medical Center University of Ulsan College of Medicine Seoul Korea)
저널정보
대한이식학회 Clinical Transplantation and Research Korean Journal of Transplantation Vol.37 No.2
발행연도
2023.6
수록면
135 - 140 (6page)

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Kaposi’s sarcoma (KS) is a disease that is not widely known among the general public, but has a high prevalence among organ transplant recipients. Here, we present a rare case of intragraft KS after kidney transplantation. A 53-year-old woman who had been on hemodialysis due to diabetic nephropathy underwent deceased-donor kidney transplantation on December 7, 2021. Approximately 10 weeks after kidney transplantation, her creatinine level increased to 2.99 mg/dL. Upon examination, ureter kinking was confirmed between the ureter orifices and the transplanted kidney. As a result, percutaneous nephrostomy was performed, and a ureteral stent was inserted. During the procedure, bleeding occurred due to a renal artery branch injury, and embolization was performed immediately. Subsequently, kidney necrosis and uncontrolled fever developed, leading to graftectomy. Surgical findings revealed that the kidney parenchyma was necrotic as a whole, and lymphoproliferative lesions had formed diffusely around the iliac artery. These lesions were removed during graftectomy, and a histological examination was performed. The kidney graft and lymphoproliferative lesions were diagnosed as KS based on a histological examination. We report a rare case in which a recipient developed KS in the kidney allograft as well as in adjacent lymph nodes.

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