Background. The challenge in managing @entity1 undergoing renal transplantation is how to achieve optimum levels of anticoagulation to avoid both clotting and @entity86 . We report a rare case of severe postoperative retroperitoneal @entity548 including psoas haematomata complicating renal transplantation. Case Report. SM, a 55-year-old female, had a past history of aortic valve replacement, cerebrovascular event, and @entity2334 and was on long-term @entity1229 that was switched to @entity2120 60   mg daily a week prior to her living donor transplantation. Postoperatively, she was started on a heparin infusion, but this was complicated by a large retroperitoneal bleed requiring surgical evacuation on the first postoperative day. Four weeks later, she developed features compatible with @entity697 and a CT scan revealed @entity4340 . Following conservative management, she made steady progress and was discharged home via a community hospital 94 days after transplantation. At her last visit 18 months after transplantation, she had returned to full fitness with excellent transplant function. Conclusion. @entity1 in @entity177 who require significant anticoagulation are at increased risk of @entity548 that may involve prolonged hospitalisation and more protracted recovery and @entity1 should be carefully counselled about this.

XXXX complicating renal transplantation.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity697 :: ('MESH:D000208', 'Disease') :: ['acute femoral neuropathy'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity4340 :: ('MESH:D016659', 'Disease') :: ['bilateral psoas haematomata'] @entity177 :: ('MESH:D051437', 'Disease') :: ['established renal failure'] @entity2334 :: ('MESH:D017545', 'Disease') :: ['thoracic aortic aneurysm'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative bleeding'] @entity2120 :: ('MESH:D017984', 'Chemical') :: ['enoxaparin'] @entity1229 :: ('MESH:D014859', 'Chemical') :: ['warfarin']
@entity4340 :: (MESH:D016659,Disease) :: ['Bilateral psoas haematomata']
