Late Spontaneous Rupture in a Homografted Kidney

Abstract

cpontaneous parenchymal rupture in renal homografts ~ causing hemorrhage is not rare. The incidence is about 3% to 6%.' It happens usually during an early acute rejection period.'-G Both pelvic and ureteral necrosis, common in both transplant and nontransplant patients, are related to infection, rejection, trauma, and technical problems.2,7-12 This is a case report of an unusual delayed spontaneous parenchymal rupture in the lower pole of a homografted kidney that caused no hemorrhage. It appeared to be due to focal necrosis causing localized abscess formation. The complication was successfully treated by nephrostomy drainage.