Chest pain after kidney transplantation owing to pneumomediastinum

A case report

E. S. Kerns, S. A. Alobaidi, Kayvan Roayaie, J. S. Obhrai

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)2811-2814
Number of pages4
JournalTransplantation Proceedings
Volume45
Issue number7
DOIs
StatePublished - Sep 2013

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Mediastinal Emphysema
Chest Pain
Kidney Transplantation
Abdominal Cavity
Air
Polycystic Kidney Diseases
Thoracic Injuries
Living Donors
Vascular System Injuries
Nephrectomy
Radiography
Thorax
Transplantation
History
X-Rays
Oxygen
Kidney
Pain
Lung

ASJC Scopus subject areas

  • Surgery
  • Transplantation

Cite this

Chest pain after kidney transplantation owing to pneumomediastinum : A case report. / Kerns, E. S.; Alobaidi, S. A.; Roayaie, Kayvan; Obhrai, J. S.

In: Transplantation Proceedings, Vol. 45, No. 7, 09.2013, p. 2811-2814.

Research output: Contribution to journalArticle

Kerns, E. S. ; Alobaidi, S. A. ; Roayaie, Kayvan ; Obhrai, J. S. / Chest pain after kidney transplantation owing to pneumomediastinum : A case report. In: Transplantation Proceedings. 2013 ; Vol. 45, No. 7. pp. 2811-2814.
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