TY - JOUR
T1 - Remission of Aseptic Inflammatory Ascites After Nephrectomy of a Failed Allograft
AU - Wan, David W.
AU - Serur, David
AU - Bodenheimer, Henry C.
AU - Goldstein, Michael J.
AU - Sigal, Samuel H.
PY - 2007/10
Y1 - 2007/10
N2 - 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.
AB - 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.
KW - Ascites
KW - kidney transplantation
KW - nephrectomy
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U2 - 10.1053/j.ajkd.2007.06.019
DO - 10.1053/j.ajkd.2007.06.019
M3 - Article
C2 - 17900465
AN - SCOPUS:34548847171
SN - 0272-6386
VL - 50
SP - 645
EP - 648
JO - American Journal of Kidney Diseases
JF - American Journal of Kidney Diseases
IS - 4
ER -