Remission of Aseptic Inflammatory Ascites After Nephrectomy of a Failed Allograft Academic Article uri icon

Overview

MeSH Major

  • Ascites
  • Asepsis
  • Graft Rejection
  • Kidney Failure, Chronic
  • Kidney Transplantation
  • Nephrectomy

abstract

  • There are multiple possible causes of ascites in patients with end-stage renal disease on hemodialysis therapy. In this report, we describe a patient with chronic hepatitis C infection who presented with refractory inflammatory ascites, along with cachexia, hypoalbuminemia, and erythropoietin resistance associated with the chronic inflammatory state induced by a failed kidney transplant. Evaluation showed only mild hepatic fibrosis, absence of portal hypertension, and no other identifiable cause of the ascites. Furthermore, the inflammatory ascites did not respond to antibiotic therapy, but promptly resolved, along with the other manifestations of the chronic inflammatory state, after transplant nephrectomy. This report describes a novel cause for refractory inflammatory ascites in a patient with a failed kidney transplant and emphasizes the importance of transplant nephrectomy.

publication date

  • October 2007

Research

keywords

  • Academic Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1053/j.ajkd.2007.06.019

PubMed ID

  • 17900465

Additional Document Info

start page

  • 645

end page

  • 8

volume

  • 50

number

  • 4