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Iliac artery stenosis masquerading as diuretic resistant congestive heart failure
Rahul S. Koushik, Arthur J. Matas & Mark E. Rosenberg
Departments of Medicine and Surgery, University of Minnesota, Minneapolis, MN, USA
Corresponding author: Dr Mark E Rosenberg, MD, Professor of Medicine, University of Minnesota, Renal Division, Box 736, 420 Delaware St. S.E. Minneapolis, MN 55455, USA. E-mail: rosen001@tc.umn.edu
Copyright Munksgaard 1999
KEYWORDS
clinical features • iliac artery stenosis • kidney transplantation

ABSTRACT

Iliac artery stenosis is a rare cause of renal dysfunction in renal allograft recipients. Its presence can mimic renovascular hypertension and yet alter the very radiologic tests used to diagnose renal artery stenosis. We investigate a case of iliac artery stenosis that presented with diuretic resistant fluid overload, hypertension and limb claudication that exposed the pitfalls in the diagnosis and management of this condition. Successful stent placement, 8 months after transplant, resulted in return of the serum creatinine below the post-transplant nadir.



Accepted 4 August 1999

DIGITAL OBJECT IDENTIFIER (DOI)
10.1034/j.1399-0012.2000.140103.x About DOI

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