1. Nephrotoxic acute renal failure in a renal transplant patient with recurrent lymphocele treated with povidone-iodine irrigation.
- Author
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Manfro RC, Comerlato L, Berdichevski RH, Ribeiro AR, Denicol NT, Berger M, Saitovitch D, Koff WJ, and Gonçalves LF
- Subjects
- Acute Kidney Injury diagnosis, Acute Kidney Injury drug therapy, Acute Kidney Injury surgery, Adult, Cyclosporine therapeutic use, Diagnosis, Differential, Drainage methods, Female, Humans, Immunosuppressive Agents therapeutic use, Lymphocele diagnosis, Lymphocele surgery, Povidone-Iodine therapeutic use, Recurrence, Renal Dialysis methods, Therapeutic Irrigation adverse effects, Therapeutic Irrigation methods, Acute Kidney Injury chemically induced, Kidney Transplantation adverse effects, Lymphocele drug therapy, Lymphocele etiology, Povidone-Iodine adverse effects
- Abstract
Povidone-iodine sclerosis has been suggested in the literature as a safe and effective treatment for post-renal transplant lymphoceles. No significant complications of this method have been described. We report on a kidney allograft recipient with recurrent lymphoceles treated with povidone-iodine instillations who developed acute renal failure secondary to iodine intoxication. Four days after the beginning of the povidone-iodine irrigations, metabolic acidosis was present, and renal function started to deteriorate. After a few days, despite the suspension of irrigations, the patient developed oliguria, and dialysis was needed. A renal biopsy was performed, and intense acute tubular necrosis was the only relevant finding. The lymphocele was corrected surgically, and the patient eventually recovered. As has been described in other settings, povidone-iodine instillation for the treatment of post-renal transplant lymphoceles may lead to iodine kidney toxicity and acute renal failure., (Copyright 2002 by the National Kidney Foundation, Inc.) more...
- Published
- 2002
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