Beware the band adhesion: an unexpected cause of double obstruction following intraperitoneal kidney transplantation
| Autor: | Lawrence Yuen, Linda Tang, Jinna Yao, Taina Lee, Richard D. M. Allen, Peter Daechul Yoon, Howard Lau, David Tovmassian, Ahmer Hameed, Jerome M. Laurence, Henry Pleass |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
allograft AcademicSubjects/MED00910 jscrep/0140 medicine.medical_treatment Adhesion (medicine) Case Report bowel Ureter Laparotomy medicine transplant Kidney transplantation business.industry medicine.disease obstruction Surgery Bowel obstruction Transplantation adhesion medicine.anatomical_structure surgical procedures operative Anuria medicine.symptom business Complication |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| Popis: | Small bowel obstruction (SBO) following intraperitoneal renal transplantation, either solitary or due to simultaneous pancreas-kidney transplantation, is a known complication. While SBO is most commonly due to adhesions, there have been documented cases of internal herniation following simultaneous pancreas-kidney transplantation with enteric drainage due to the formation of a mesenteric defect. We present a unique complication in which the transplant ureter has caused strangulation and necrosis of a length of small intestine. The transplant ureter was mistaken for a band adhesion and divided. Post-operative anuria signalled this difficult diagnosis. Subsequent re-look laparotomy and ureteric reimplantation with Boari flap were required. Therefore, it is important to consider the ureter as a cause of internal herniation in kidney transplant patients and recognize that a band adhesion within the pelvis may in fact be the transplant ureter, obstructing a loop of small intestine beneath its course. |
| Databáze: | OpenAIRE |
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