TY - JOUR A2 - Boraschi, Piero AU - Greco, Justin M. AU - Mulligan, David C. AU - Yoo, Peter S. PY - 2020 DA - 2020/01/14 TI - Salvage after Retroperitoneal Kidney Allograft Torsion SP - 8024598 VL - 2020 AB - Torsion of a transplanted kidney into the retroperitoneal space is a rare occurrence, with only three other reported cases. Failure after kidney transplantation is caused by surgical, immunological, and infective complications. Torsion is a complication that poses a serious risk of ischemic graft failure, and, if suspected, sonographic evaluation helps ascertain the diagnosis. Here, we present the case of a 69-year-old transplant recipient whose routine postoperative ultrasound confirmed vessel patency, however subsequently developed clinical signs of renal allograft compromise. Repeat ultrasound showed signs of vascular compromise and the patient was emergently re-explored. Torsion of the renal allograft about its pedicle was encountered and corrected by manual detorsion and nephropexy to the retroperitoneal wall. Clinicians should recognize pedicle torsion as a potential cause of renal allograft failure and the role of nephropexy in its management. SN - 2090-6943 UR - https://doi.org/10.1155/2020/8024598 DO - 10.1155/2020/8024598 JF - Case Reports in Transplantation PB - Hindawi KW - ER -