Complete necrosis of graft ureter following renal transplant in a patient with primary antiphospholipid syndrome: A case report

Fernando, Manoj Hilary; Jayarajah, Umesh; Rubakan, Donald; Fonseka, Ruwan; Goonewardena, Serozsha

doi:10.1002/ccr3.1620

Cited by 2 publications

(2 citation statements)

References 15 publications

(38 reference statements)

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“…Pyelopyelostomy is a promising rescue maneuver that is worth considering in cases of total or partial ureteral necrosis and long-segment ureteral stenosis after renal transplantation [35][36][37][38]. The wide anastomosis of the native and donor renal pelvis decreases the risk of subsequent suture line stenosis and fistula formation.…”

Section: Discussionmentioning

confidence: 99%

Posttransplant Urine Leakage with Extensive Ureteral Stricture Corrected by Pyelopyelostomy: A challenging case

2019

JOJUN

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Various rescue procedures have been devised to reconstruct a long-segment ureteral stricture with high-volume urinary leakage after kidney transplantation. Secondary pyeloureterostomy is typically employed using the recipient’s native ureter, and pyelopyelostomy is infrequently applied for secondary reconstruction. We used the latter method in a secondary transplant recipient whose native ureter was small in diameter and who also had a “frozen pelvis” with marked adhesions and fibrosis as he had survived various complications and multiple surgical procedures, including abscess drainages and colon surgeries. One and a half years have passed since the secondary pyelopyelostomy with a well-functioning graft; therefore, this open surgical repair appears to be the treatment of choice for complicated urinary leakage and failed endourological repair.

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Section: Discussionmentioning

confidence: 99%

Posttransplant Urine Leakage with Extensive Ureteral Stricture Corrected by Pyelopyelostomy: A challenging case

2019

JOJUN

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“…[12][13][14] > Damage to the ureter during dissection may result in ureteric ischaemia, necrosis, and distal leak. 15,16 Urological complications in the post-operative period can be identified by the drained fluid's colour (clear, haemorrhagic, or purulent) and odour (uriniferous or foul). 17 If there is a delayed graft function, a urinary leak can be detected only after the urine output increases.…”

Section: Urological Complications During the Post-operative Period Inmentioning

confidence: 99%

Identifying Early Extraperitoneal High-Volume Urine Leak Post Kidney Transplantation

Churchill

Sharma

Aziz

et al. 2021

EMJ

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Transplant clinicians need to be watchful of several potential surgical complications in the early post-transplant period, including haemorrhage, extraperitoneal urine leak, and lymphocele. While haemorrhage and extraperitoneal urine leak usually present in the early post kidney transplant period, lymphoceles usually present 2–6 weeks after transplantation. While the colour and volume of the drained fluid can give some indication of the problem, is not enough evidence for a confident urine leak diagnosis. Further investigations, such as serum biochemical parameter analysis of the drained fluid and ultrasonography, help to identify the true cause. This paper discusses how to identify high-volume extraperitoneal urine leaks in the early post kidney transplant period and considers the differential diagnoses. Different ureteroneocystostomy procedures, including the Lich–Grégoir, Politano–Leadbetter, and U-stitch techniques, are discussed and compared regarding complication rates (especially urine leak and haematuria). The authors also address the management of low- and high-volume extraperitoneal urine leak, the follow-up needed, and the impact of urine leak on graft and patient survival, length of hospital stay, and rate of hospital readmission.

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Complete necrosis of graft ureter following renal transplant in a patient with primary antiphospholipid syndrome: A case report

Cited by 2 publications

References 15 publications

Posttransplant Urine Leakage with Extensive Ureteral Stricture Corrected by Pyelopyelostomy: A challenging case

Posttransplant Urine Leakage with Extensive Ureteral Stricture Corrected by Pyelopyelostomy: A challenging case

Identifying Early Extraperitoneal High-Volume Urine Leak Post Kidney Transplantation

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