Transplantation proceedings · 2013
Chest pain after kidney transplantation owing to pneumomediastinum: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Kerns E S, Alobaidi S A, Roayaie K, Obhrai J S
Аннотация
BACKGROUND: Chest pain in kidney transplant recipients can signify a life-threatening condition.
CASE REPORT: A patient with polycystic kidney disease who underwent living donor kidney transplantation with open bilateral native nephrectomy developed acute substernal chest pain 10 days post-transplantation. History, physical, and diagnostic studies identified no cardiac or pulmonary causes for the pain, but radiography showed mediastinal air. No vascular or thoracic injury explained the development of the pneumomediastinum. After 1 day on oxygen, the chest pain symptoms resolved. Repeat x-rays showed resolution of the pneumomediastinum.
DISCUSSION: Pneumomediastinum resulting from air migrating from the abdominal cavity to the thorax has not been described after open removal of diseased abdominal organs. This case illustrates that creation of a potential space in the abdominal cavity can be associated with the development of pneumomediastinum.
CONCLUSIONS: Conservative measures were sufficient to resolve the pneumomediastinum and symptoms in this patient.
CASE REPORT: A patient with polycystic kidney disease who underwent living donor kidney transplantation with open bilateral native nephrectomy developed acute substernal chest pain 10 days post-transplantation. History, physical, and diagnostic studies identified no cardiac or pulmonary causes for the pain, but radiography showed mediastinal air. No vascular or thoracic injury explained the development of the pneumomediastinum. After 1 day on oxygen, the chest pain symptoms resolved. Repeat x-rays showed resolution of the pneumomediastinum.
DISCUSSION: Pneumomediastinum resulting from air migrating from the abdominal cavity to the thorax has not been described after open removal of diseased abdominal organs. This case illustrates that creation of a potential space in the abdominal cavity can be associated with the development of pneumomediastinum.
CONCLUSIONS: Conservative measures were sufficient to resolve the pneumomediastinum and symptoms in this patient.