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Spontaneous massive haemothorax in the peri-partum period of an undiagnosed neurofibromatosis type 1 patient - A surgical perspective

Narasimman S, Govindasamy H, Seevalingam KK, Paramasvaran G, Ramasamy U

Med J Malaysia, 2019 02;74(1):99-101.
PMID: 30846675

Acute massive haemothorax is a life-threatening situation, which is often associated with a preceding trauma. However, spontaneous haemothorax is a rare occurrence, especially in pregnancy. Spontaneous haemothorax in the immediate post-partum period secondary to a ruptured intercostal AVM is extremely rare more so in the background of an undiagnosed neurofibromatosis. This is a report of a young lady presenting with pleuritis and breathlessness after the delivery of her 1st child. Her management is discussed.
Outcome of donor kidney function in living-related kidney transplant: observation from a single centre with 18 year experience in Malaysia

Amat N, Lim J, Rezali MS, Seevalingam K, Fadzli AN, Dublin N, et al.

Int Urol Nephrol, 2026 Apr;58(4):1231-1238.
PMID: 40924294 DOI: 10.1007/s11255-025-04725-6

PURPOSE: Living donor kidney transplantation is a critical strategy to address the growing burden of end-stage kidney disease (ESKD) in Malaysia. Whilst living donation is generally safe, concerns remain regarding long-term donor outcomes. This study aimed to evaluate renal function and morbidity changes in living kidney donors 1 year post-donation, and to identify predictors of impaired kidney function.
METHODS: A retrospective cohort study was conducted using clinical records of 230 living kidney donors who underwent nephrectomy at University Malaya Medical Centre between 2003 and 2021. Donor sociodemographic characteristics, comorbidities, and estimated glomerular filtration rate (eGFR) were assessed pre-donation and at 1 year post-donation. Impaired kidney function was defined as eGFR

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