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Peer-reviewedCC BY 4.0Case Reports in Transplantation

Kidney Allograft Salvage by Autotransplantation for a Suspected Infectious Arterial Pseudoaneurysm in a Pediatric Recipient

  • Zachary H. Rollins1
  • Holly R. Caboti-Jones1
  • Daniel H. Newton2
  • Seung D. Lee3
  • Muhammad I. Saeed3
  • David A. Bruno3
  • Amit Sharma3
  1. 1Department of Surgery Virginia Commonwealth University and School of Medicine Richmond Virginia USA
  2. 2Division of Vascular Surgery Virginia Commonwealth University Richmond Virginia USA vcu.edu
  3. 3Hume-Lee Transplant Center Virginia Commonwealth University Richmond Virginia USA vcu.edu
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Abstract

Transplant renal artery pseudoaneurysm is a rare complication following kidney transplantation. Noninfected pseudoaneurysms are increasingly managed with endovascular intervention; however, infected pseudoaneurysms often require surgical resection or transplant nephrectomy for definitive management. We report the case of a 14‐year‐old female kidney transplant recipient with a neurogenic bladder who developed recurrent UTIs and bacteremia. The patient was diagnosed with a 3.0 × 2.8 cm renal artery pseudoaneurysm. After a course of antibiotics, she underwent resection of the pseudoaneurysm and an involved segment of the right external iliac artery, followed by kidney autotransplantation to a deceased donor iliac artery interposition graft. Final cultures were negative for bacterial or fungal growth. Six years later, the patient remains off dialysis with a serum creatinine of 2.08 mg/dL (eGFR 34 mL/min/1.73m2). A review of the literature suggests that, in carefully selected recipients, excision of renal transplant pseudoaneurysms with renal autotransplantation can allow for allograft salvage.

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Cite

BibTeXRIS
BibTeX
@article{rollins2026kidney,
  title = {{Kidney Allograft Salvage by Autotransplantation for a Suspected Infectious Arterial Pseudoaneurysm in a Pediatric Recipient}},
  author = {Zachary H. Rollins and Holly R. Caboti-Jones and Daniel H. Newton and Seung D. Lee and Muhammad I. Saeed and David A. Bruno and Amit Sharma},
  journal = {Case Reports in Transplantation},
  year = {2026},
  month = nov,
  doi = {10.1155/crit/1186961},
  url = {https://doi.org/10.1155/crit/1186961},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Kidney Allograft Salvage by Autotransplantation for a Suspected Infectious Arterial Pseudoaneurysm in a Pediatric Recipient
AU  - Zachary H. Rollins
AU  - Holly R. Caboti-Jones
AU  - Daniel H. Newton
AU  - Seung D. Lee
AU  - Muhammad I. Saeed
AU  - David A. Bruno
AU  - Amit Sharma
PY  - 2026
DA  - 2026/11/05
JO  - Case Reports in Transplantation
DO  - 10.1155/crit/1186961
UR  - https://doi.org/10.1155/crit/1186961
AB  - Transplant renal artery pseudoaneurysm is a rare complication following kidney transplantation. Noninfected pseudoaneurysms are increasingly managed with endovascular intervention; however, infected pseudoaneurysms often require surgical resection or transplant nephrectomy for definitive management. We report the case of a 14‐year‐old female kidney transplant recipient with a neurogenic bladder who developed recurrent UTIs and bacteremia. The patient was diagnosed with a 3.0 × 2.8 cm renal artery pseudoaneurysm. After a course of antibiotics, she underwent resection of the pseudoaneurysm and an involved segment of the right external iliac artery, followed by kidney autotransplantation to a deceased donor iliac artery interposition graft. Final cultures were negative for bacterial or fungal growth. Six years later, the patient remains off dialysis with a serum creatinine of 2.08 mg/dL (eGFR 34 mL/min/1.73m2). A review of the literature suggests that, in carefully selected recipients, excision of renal transplant pseudoaneurysms with renal autotransplantation can allow for allograft salvage.
SN  - 2090-6943
SN  - 2090-6951
ER  -