Caliceal-Cutaneous Fistula in Renal Transplantation:Successful Conservative Management

Prompt, Carlos Alberto; Manfro, Roberto Ceratti; Ilha, Darcy de Oliveira; Koff, Walter José

doi:10.1016/s0022-5347(17)40026-7

Cited by 7 publications

(4 citation statements)

References 3 publications

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“…Other surgical complications in early post transplant days included bleeding, wound infection, lymphocele and haematoma and urinary leak from ureterovesico anastomosis site which are also comparable with other series. 1,2,[8][9][10][11][12] Likewise, the incidence of medical complications is also fairly comparable with other results from different studies.…”

Section: Discussionsupporting

confidence: 84%

Practices and Results of Two Years Service from a single UK Renal Transplant Center

et al. 2010

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INTRODUCTION: End stage renal failure is a common condition requiring renal replacement therapy in the form of haemodialysis or peritoneal dialysis as a short-term measure with renal transplantation as a more definitive treatment option. The aim of this study was to evaluate the set up of arenal transplant unit in a developed country and compare its results with other centers of the world. METHODS: A retrospective observational study was conducted to see the results of two years activities of a well known renal transplant unit in the United Kingdom. A description of the setup of a renal transplant unit has been made and its results have been discussed. RESULTS: Of the total patients, who had transplants in the renal transplant unit in year 2006 and 2007, 209 were renal, 14 were simultaneous kidneypancreas and two were pancreas after kidney transplants. Our one year graft survival rate was 93%, delayed graft function was 15%, early rejection rate was 11% and mortality rate was 3% in one year follow up. CONCLUSIONS: To attain good results in renal transplantation surgery, a multi-disciplinary team approach is crucial. Our set up is an example where the results are comparable to published and unpublished data from other established units world-wide. Keywords: complications, immunosuppression, renal transplant.

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Section: Discussionsupporting

confidence: 84%

Practices and Results of Two Years Service from a single UK Renal Transplant Center

et al. 2010

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“…The placement of a nephrostomy catheter can be the sole treatment of a caliceal fistula [2,10,14,15,17,191. If a surgical revision is required, the use of a nephrostomy catheter avoids the progression of the renal graft dysfunction and the risk associated with a poorly functioning graft [lo, 19, 231. In our case, the nephrostomy catheter, which had been left in place for 23 days, was sufficient to treat the urinary leak.…”

Section: Discussionmentioning

confidence: 99%

“…If a surgical revision is required, the use of a nephrostomy catheter avoids the progression of the renal graft dysfunction and the risk associated with a poorly functioning graft [lo, 19, 231. In our case, the nephrostomy catheter, which had been left in place for 23 days, was sufficient to treat the urinary leak. Most authors recommend keeping it in for at least 4 4 weeks [l, 17,19,231. Healing can be followed by nephrostogram.…”

Section: Discussionmentioning

confidence: 99%

Caliceal fistula in kidney transplantation. The role of magnetic resonance imaging

et al. 2002

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Caliceal fistula is a rare complication of renal transplantation, which often raises some diagnostic problems. We report the case of a patient in which this complication occurred and in whom the diagnosis could be clearly demonstrated by using magnetic resonance imaging (MRI). On the T1-weighted images, a perirenal collection was depicted by a low signal intensity. On T2-weighted images, the collection appeared with a high signal intensity, and a linear hyperintensity was observed on the internal graft's labium at the level of the inferior pole corresponding to a caliceal fistula arising from the lower pole of the graft. In this setting, the use of MRI is compared with the other diagnostic techniques (sonography, CT scan, nephrogram, scintigraphy). MRI constitutes a progress in imaging of the renal graft by its high definition and the lack of nephrotoxicity. Its place remains, however, to be more precisely defined in the evaluation of a renal graft's complications.

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“…Renocutaneous Fistula.-Renocutaneous fistulas can occur from xanthogranulomatous pyelonephritis or other chronic infections in the native kidney (8,9) and from ischemia to the transplant kidney (10). Penetrating and iatrogenic trauma may be responsible.…”

Section: Renal Fistulasmentioning

confidence: 99%

Fistulas of the Genitourinary Tract: A Radiologic Review

Yu¹,

Raman²,

Patel³

et al. 2004

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152

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Fistulas of the genitourinary tract have diverse anatomic locations, causes, and clinical features. They can involve the upper urinary tract (kidney, ureter), the lower urinary tract (bladder, urethra), or the female reproductive tract (vagina, uterus). Causes include infection, inflammatory disease, neoplasms, congenital conditions, trauma, and iatrogenic injury. Diagnosis of genitourinary tract fistulas usually requires radiologic studies performed with fluoroscopic or cross-sectional modalities. Fistulography is the most direct means of visualizing a fistula and should be considered when feasible (eg, cutaneous fistulas). Intravenous urography and pyelography or ureterography are mainstays of investigation of the upper tract. Likewise, voiding cystourethrography and urethrography are central to study of the lower tract. Cross-sectional techniques, in particular computed tomography, are increasingly useful for diagnosis and are considered the primary test in some cases. Radiologists should be familiar with the radiologic features of genitourinary tract fistulas for accurate diagnosis and treatment planning. Management approaches depend on the type of fistula, the degree of morbidity, and the overall functional status of the patient and vary from conservative observation to aggressive surgical repair.

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Caliceal-Cutaneous Fistula in Renal Transplantation:Successful Conservative Management

Cited by 7 publications

References 3 publications

Practices and Results of Two Years Service from a single UK Renal Transplant Center

Practices and Results of Two Years Service from a single UK Renal Transplant Center

Caliceal fistula in kidney transplantation. The role of magnetic resonance imaging

Fistulas of the Genitourinary Tract: A Radiologic Review

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