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Pediatric Nephrology
Published in: Pediatric Nephrology 4/2018

01-04-2018 | Clinical Quiz

Abdominal distention and continuous feeding intolerance after intraperitoneal kidney transplant: Answers

Authors: Valeriya M. Feygina, Anil Kotru, Christine Du

Published in: Pediatric Nephrology | Issue 4/2018

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Excerpt

1.
The differential diagnosis for abdominal distention and allograft dysfunction after kidney transplant is broad. The following is a noncomprehensive list of possible etiologies underlying the problem.
a)
Ascites secondary to:
  • Recurrence of nephrotic syndrome due to circulating anti-nephrin antibodies
  • Acute allograft rejection
  • Severe pancreatitis
  • Post-operative urinary leak
  • Ruptured subcapsular lymphocele
  • Portal hypertension following renal transplant
  • Allograft renal vein stenosis
  • Chylous ascites
  • Innate renal allograft pathology
 
b)
Gastroparesis and ileus
 
c)
Peritonitis with or without ascites
 
 
2.
Recurrence of nephrotic syndrome secondary to de novo formation of anti-nephrin antibodies
 
3.
a)
Complete abdominal ultrasound with Doppler
 
b)
Renal function test
 
c)
Tacrolimus level
 
d)
Donor-specific antibody tests
 
e)
Urinalysis with spot urine protein-to-creatinine ratio
 
f)
Plasma anti-nephrin antibody test
 
g)
Renal biopsy
 
 
4.
Treatment with intravenous steroids, rituximab, and plasmapheresis
 
…
Literature
1.
Ball CG, Kirkpatrick AW, Yilmaz S, Monroy M, Nicolaou S, Salazar A (2006) Renal allograft compartment syndrome: an underappreciated postoperative complication. Am J Surg 191:619–624CrossRefPubMed
2.
Heer MK, Trevillian PR, Hardy DB, Hibberd AD (2012) Salvaging kidneys with renal allograft compartment syndrome. Transpl Int 25:e47–e49CrossRefPubMed
3.
Fontana I, Bertocchi M, Centanaro M, Diviacco P, De Negri A, Ghinolfi D, Tommasi G, Magoni Rossi A, Santori G, Dallatomasina S, Nardi I, Piaggio F, Moraglia E, Valente U (2008) Renal compartment syndrome: a case report. Transplant Proc 40:2065–2066CrossRefPubMed
4.
Göğüs C, Yaman O, Soygür T, Bedük Y, Göğüs O (2002) Urological complications in renal transplantation: long-term follow-up of the woodruff ureteroneocystostomy procedure in 433 patients. Urol Int 69:99–101CrossRefPubMed
5.
Bennet LN, Voegeli DR, Crummy AB, McDermott JC, Jensen SR, Sollinger HW (1986) Urologic complications following renal transplantation: role of interventional radiologic procedures. Radiology 160:531–536CrossRef
6.
Kawaguchi S, Nohara T, Shima T, Matsuyama S, Nose C, Yamahana J, Kadono Y, Seto C, Kawabata M, Mizokami A (2016) Massive ascites in a renal transplant patient after laparoscopic fenestration of a lymphocele. Case Rep Transplant 2016:7491627PubMedPubMedCentral
7.
Riar S, Warshaw B, Amaral S (2012) Chylous ascites complicating pediatric renal transplantation. Pediatr Nephrol 27:1397–1399CrossRefPubMed
8.
Itoh K, Tanda K, Kato C, Kanagawa K, Seki T (1994) Intraperitoneal leakage of technetium-99m-DTPA following renal transplantation: a sign of chylous ascites. J Nucl Med 35:93–94PubMed
9.
Pan MS, Wu RH, Sun DP, Tian YF, Chen MJ (2014) Renal vein stenosis with transudative ascites from graft after renal transplantation with good response after percutaneous stent placement. Transplant Proc 46:598–601CrossRefPubMed
10.
Wan DW, Serur D, Bodenheimer HC Jr, Goldstein MJ, Sigal SH (2008) Remission of aseptic inflammatory ascites after nephrectomy of a failed allograft. Am J Kidney Dis 53:626CrossRef
11.
Jaffers GJ, Narayanan M, Fasola CG (2012) Surgical correction of nephrogenic ascites in a renal transplant recipient. Exp Clin Transplant 10:394–397CrossRefPubMed
12.
Koene RA, Skotnicki SH, Debruyne FM (1979) Spontaneous renal decapsulation with excessive fluid leakage after transplantation. N Engl J Med 300:1030–1037CrossRefPubMed
13.
Watson AR, Vigneux A, Balfe JW (1984) Renal transplantation in children on CAPD and post-transplant ascites. Perit Dial Bull 4:189
14.
Malagon M, Hogg RJ (1987) Renal transplantation after prolonged dwell peritoneal dialysis in children. Kidney Int 31:981–985CrossRefPubMed
15.
Leichter HE, Salusky IB, Ettenger RB, Jordan SC, Hall TL, Marik J, Fine RN (1986) Experience with renal transplantation in children undergoing peritoneal dialysis (CAPD/CCPD). Am J Kidney Dis 8:181–185CrossRefPubMed
16.
Laine J, Jalanko H, Holthöfer H, Krogerus L, Rapola J, von Willebrand E, Lautenschlager I, Salmela K, Holmberg C (1993) Post-transplant nephrosis in congenital nephrotic syndrome of the Finnish type. Kidney Int 44:867–874CrossRefPubMed
17.
Patrakka J, Ruotsalainen V, Reponen P, Qvist E, Laine J, Holmberg C, Tryggvason K, Jalanko H (2002) Recurrence of nephrotic syndrome in kidney graft of patients with congenital nephrotic syndrome of the Finnish type. Transplantation 73:394–403CrossRefPubMed
18.
Kuusniemi A-M, Qvist E, Sun Y, Patrakka J, Rönnholm K, Karikoski R, Jalanko H (2007) Plasma exchange and retransplantation in recurrent nephrotic syndrome of the Finnish type. Transplantation 83:1316–1323CrossRefPubMed
19.
20.
Srivastava T, Garola RE, Kestila M, Tryggvason K, Ruotsalainen V, Sharma M, Savin VJ, Jalanko H, Warady BA (2006) Recurrence of proteinuria following renal transplantation in congenital nephrotic syndrome of the Finnish type. Pediatr Nephrol 21:711–718CrossRefPubMed
Metadata
Title
Abdominal distention and continuous feeding intolerance after intraperitoneal kidney transplant: Answers
Authors
Valeriya M. Feygina
Anil Kotru
Christine Du
Publication date
01-04-2018
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Nephrology / Issue 4/2018
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-017-3708-2

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