Gluteal Necrosis and Lumbosacral Plexopathy in a Diabetic Patient after Renal Transplantation

Abstract

A 34-year-old diabetic patient underwent a renal transplant which was complicated by right side lower extremity paresis and numbness with gluteal necrosis. The main reason was ligation of internal iliac artery of the same side as a result of extensive microvascular obstruction due to severe atheromatous plaque. This is a rare complication which is mostly reported in aneurysmal patients after bypass surgery. The gluteal necrosis is a serious complication which, as in our patient, resulted in patient's death in most of the reported cases. Because of catastrophic nature of this condition, identifying preventive measures is extremely important.

Figure 1

Necrotic site in the right hip which progressed to a large ulcer in the following days.

Figure 2

Improvement is ulcer area 2 months later.