Ureteric Trauma following Stent Removal in Kidney Transplant Recipient: A Unique Case of Prolonged Morbidity
| Autor: | Imran Gani, Laura L. Mulloy, Andy S Huang, Muhammad Saeed, Rajan Kapoor, Ahmad Mirza, Ravi Mallavarapu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Abdominal pain
medicine.medical_specialty RD1-811 business.industry medicine.medical_treatment Urinary diversion 030232 urology & nephrology Lumen (anatomy) Stent Case Report 030204 cardiovascular system & hematology medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Hematoma surgical procedures operative Percutaneous nephrostomy Management of Technology and Innovation medicine medicine.symptom Ureteric stent business Hydronephrosis |
| Zdroj: | Case Reports in Transplantation Case Reports in Transplantation, Vol 2021 (2021) |
| ISSN: | 2090-6951 2090-6943 |
| Popis: | A 52-year-old African-American male patient with end-stage renal disease due to hypertension underwent deceased donor kidney transplant procedure with no immediate complications. The postprocedure complications, interventions, and course were abstracted by chart review. The ureteric stent was removed with flexible cystoscopy on postoperative day (POD) 24. 24 hours later, the patient presented with abdominal pain and inability to urinate. An urgent ultrasound and noncontrast CT scan showed grade 4 hydronephrosis of the transplanted kidney. A percutaneous nephrostomy stent was placed for urinary diversion. A large ureteric hematoma filling the lumen of the mid to distal ureter was identified on the nephrostogram and was evacuated. A follow-up nephrostogram on POD 44 revealed a distal ureter stricture and persistent well-formed midureter filling defect. A repeat nephrostogram performed at POD 72 was done with stricture dilatation, internalization of stents, and removal of a percutaneous nephrostomy tube. The patient was maintained on antibiotics for UTI prophylaxis throughout the course. |
| Databáze: | OpenAIRE |
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