Three 'Pages' in a chapter of accidents

Bakri, Rashed; Prime, Matthew; Haydar, Ali; Glass, Jonathan; Goldsmith, David

doi:10.1093/ndt/gfg308

Cited by 9 publications

(7 citation statements)

References 10 publications

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“…There are also a paucity of reports describing APK phenomenon following allograft transplant biopsy (4,5,8,9). When compared to native kidneys, transplant kidneys are at increased risk for complications after biopsy (13).…”

Section: Discussionmentioning

confidence: 99%

“…The Page kidney phenomenon has been poorly described in the renal transplant literature and consists of individual case reports that relate different transplant‐associated factors to the development of a Page kidney (2–9). Specifically, the renal allograft biopsy is associated with a risk of peri‐renal or subcapsular hematoma that could cause compression‐induced renal ischemia and an acute Page kidney (APK) phenomenon (4,5,8,9). Herein, we report a series of four patients who developed APK as a consequence of allograft biopsy‐induced subcapsular hematoma.…”

Section: Introductionmentioning

confidence: 99%

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Acute Page Kidney Following Renal Allograft Biopsy: A Complication Requiring Early Recognition and Treatment

Chung

Caumartin

Warren

et al. 2008

American Journal of Transplantation

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The acute Page kidney phenomenon occurs as a consequence of external compression of the renal parenchyma leading to renal ischemia and hypertension. Between January 2000 and September 2007, 550 kidney transplants and 518 ultrasound-guided kidney biopsies were performed. During that time, four recipients developed acute oligo-anuria following ultrasound-guided allograft biopsy. Emergent dopplerultrasounds were performed demonstrating absence of diastolic flow as well as a sub-capsular hematoma of the kidney. Prompt surgical exploration with allograft capsulotomy was performed in all cases. Immediately after capsulotomy, intraoperative Doppler study demonstrated robust return of diastolic flow. Three patients maintained good graft function, and one kidney was lost due to acute antibody-mediated rejection. We conclude that postbiopsy anuria associated with a subcapsular hematoma and acute absence of diastolic flow on doppler ultrasound should be considered pathognomonic of APK. All renal transplant specialists should be able to recognize this complication, because immediate surgical decompression can salvage the allograft.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acute Page Kidney Following Renal Allograft Biopsy: A Complication Requiring Early Recognition and Treatment

Chung

Caumartin

Warren

et al. 2008

American Journal of Transplantation

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“…This perinephritis has been described experimentally by Page in 1939 and is therefore referred to as 'Page' kidney [14]. Page kidney has subsequently been described in some 35 case reports as a complication of trauma, lithotripsy, post-transplant lymphocele as well as kidney biopsy [3,15].…”

Section: Discussionmentioning

confidence: 99%

Prolonged fever following kidney biopsy: a case report

et al. 2008

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This case report describes a patient with prolonged fever following a kidney biopsy. Workup disclosed a large perirenal and retroperitoneal hematoma. Neither imaging nor blood cultures supported an infective cause of his fever. Although the patient was initially treated with antibiotics, fever eventually resolved spontaneously. A review of the literature is provided addressing the association of fever with resorption of hematoma. Fever should be added to the list of potential complications of kidney biopsy. A conservative management is advocated.

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“…She was treated with medications and careful fluid management [6]. In three additional cases with single functioning kidneys there was a successful outcome, with improvement in blood pressure control and renal function following active surgical exploration and hematoma evacuation [7].…”

Section: Commentarymentioning

confidence: 99%