RT Book, Section
A1 Bijol, Vanesa
A2 Molmenti, Ernesto Pompeo
SR Print(0)
ID 1194189441
T1 Thrombotic Microangiopathy
T2 Molmenti’s Kidney and Pancreas Transplantation: Operative Techniques and Medical Management, 2e
YR 2023
FD 2023
PB McGraw Hill
PP New York, NY
SN 9781260474275
LK accesssurgery.mhmedical.com/content.aspx?aid=1194189441
RD 2024/04/24
AB 30-year-old  man  with  end  stage  kidney  disease  attributed  to  hypertensive  nephrosclerosis.  Received  a  living  unrelated  kidney  transplant  6  months  prior  to  current  presentation.  Admitted  with  an  oral  abscess  and  acute  kidney  injury  in  the  setting  of  dehydration.  A  biopsy  was  obtained  to  address  a  persistently  elevated  creatinine  despite  adequate  rehydration.Allograft  biopsy  (Figure  112-113)  showed  signs  of  thrombotic  microangiopathy  (image  showing  a  thrombosed  glomerulus,  H&E  200x).  On  review,  native  kidney  biopsy  (Figure  112-114)  also  showed  features  of  chronic  thrombotic  microangiopathy.It  is  likely  that  the  current  process  in  the  allograft  is  a  recurrent  thrombotic  microangiopathy.  A  diagnosis  of  hypertensive  nephrosclerosis  in  young  patients  should  always  be  interpreted  with  caution.