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Gluteal Necrosis and Lumbosacral Plexopathy in a Diabetic Patient after Renal Transplantation.

Asgari MA, Masoumi N, Argani H - Case Rep Urol (2015)

Bottom Line: The main reason was ligation of internal iliac artery of the same side as a result of extensive microvascular obstruction due to severe atheromatous plaque.The gluteal necrosis is a serious complication which, as in our patient, resulted in patient's death in most of the reported cases.Because of catastrophic nature of this condition, identifying preventive measures is extremely important.

View Article: PubMed Central - PubMed

Affiliation: Urology Department, Shahid Modarres Hospital, Shahid Beheshti Medical University, Saadat Abad, Tehran 1998734383, Iran.

ABSTRACT
A 34-year-old diabetic patient underwent a renal transplant which was complicated by right side lower extremity paresis and numbness with gluteal necrosis. The main reason was ligation of internal iliac artery of the same side as a result of extensive microvascular obstruction due to severe atheromatous plaque. This is a rare complication which is mostly reported in aneurysmal patients after bypass surgery. The gluteal necrosis is a serious complication which, as in our patient, resulted in patient's death in most of the reported cases. Because of catastrophic nature of this condition, identifying preventive measures is extremely important.

No MeSH data available.


Related in: MedlinePlus

Improvement is ulcer area 2 months later.
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fig2: Improvement is ulcer area 2 months later.

Mentions: On the following days, because of expanding tissue necrosis, he underwent serial wound debridement. Meanwhile, the transplanted kidney did not function (humeral rejection) and was ultimately removed. In the following weeks, mild improvement was seen in motor control and continence and also the wound showed promising signs of granulation tissue (Figure 2).


Gluteal Necrosis and Lumbosacral Plexopathy in a Diabetic Patient after Renal Transplantation.

Asgari MA, Masoumi N, Argani H - Case Rep Urol (2015)

Improvement is ulcer area 2 months later.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4697094&req=5

fig2: Improvement is ulcer area 2 months later.
Mentions: On the following days, because of expanding tissue necrosis, he underwent serial wound debridement. Meanwhile, the transplanted kidney did not function (humeral rejection) and was ultimately removed. In the following weeks, mild improvement was seen in motor control and continence and also the wound showed promising signs of granulation tissue (Figure 2).

Bottom Line: The main reason was ligation of internal iliac artery of the same side as a result of extensive microvascular obstruction due to severe atheromatous plaque.The gluteal necrosis is a serious complication which, as in our patient, resulted in patient's death in most of the reported cases.Because of catastrophic nature of this condition, identifying preventive measures is extremely important.

View Article: PubMed Central - PubMed

Affiliation: Urology Department, Shahid Modarres Hospital, Shahid Beheshti Medical University, Saadat Abad, Tehran 1998734383, Iran.

ABSTRACT
A 34-year-old diabetic patient underwent a renal transplant which was complicated by right side lower extremity paresis and numbness with gluteal necrosis. The main reason was ligation of internal iliac artery of the same side as a result of extensive microvascular obstruction due to severe atheromatous plaque. This is a rare complication which is mostly reported in aneurysmal patients after bypass surgery. The gluteal necrosis is a serious complication which, as in our patient, resulted in patient's death in most of the reported cases. Because of catastrophic nature of this condition, identifying preventive measures is extremely important.

No MeSH data available.


Related in: MedlinePlus