Ureteral implantation in peritoneum. Exceptional complication in renal transplantation

Ureteral implantation in peritoneum. Exceptional complication in renal transplantation

Because of the extraperitoneal location, generally used for renal grafting, intraperitoneal urine leaks are a rare complication after transplantation. We report a patient on peritoneal dialysis who developed ascites, abdominal pain, anuria and shock suddenly after renal transplantation. The patient...

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Veröffentlicht in:Actas urologicas españolas 2002-09, Vol.26 (8), p.579-580
Hauptverfasser: Blanco Parra, M, Calviño, J, Romero Burgos, R, Puñal Rodríguez, J, Rodríguez-Segade, F, Lema Grille, J, Sánchez-Guisande, D, Varo Pérez, E
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Adult
Female
Humans
Kidney Transplantation - adverse effects
Peritoneum - surgery
Ureter - surgery
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container_title Actas urologicas españolas
container_volume 26
creator Blanco Parra, M
Calviño, J
Romero Burgos, R
Puñal Rodríguez, J
Rodríguez-Segade, F
Lema Grille, J
Sánchez-Guisande, D
Varo Pérez, E
description Because of the extraperitoneal location, generally used for renal grafting, intraperitoneal urine leaks are a rare complication after transplantation. We report a patient on peritoneal dialysis who developed ascites, abdominal pain, anuria and shock suddenly after renal transplantation. The patient was immediately taken back to the operating room. An abnormal implantation of ureter into the peritoneum overlying the bladder when carrying out an unstented parallel incision extravesical ureterone-ocystostomy was identified. After correcting ureter implantation the patient had immediate diuresis, renal function rapidly improved, with no further complications. Contributing causes were poor exposure, thickened peritoneum secondary to recurrent peritonitis, and the presence of residual peritoneal dialysis fluid.
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subjects Adult
Female
Humans
Kidney Transplantation - adverse effects
Peritoneum - surgery
Ureter - surgery
title Ureteral implantation in peritoneum. Exceptional complication in renal transplantation
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