Acute kidney transplant failure following transurethral bladder polyp fulguration

Ureteral obstruction and anastomotic leak represent the most common urologic complications of kidney transplantation. Delay in diagnosis or treatment can lead to allograft loss. Obstruction of the ureter occurs in 2% of kidney transplant recipients. Although the majority of cases are immediate techn...

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Bibliographic Details
Published in:Journal of the National Medical Association 2005-03, Vol.97 (3), p.414-416
Main Authors: COLLINS, Bradley H, MARROQUIN, Carlos E, TUTTLE-NEWHALL, Janet E, KUO, Paul C, PREMINGER, Glenn M, BUTTERLY, David W
Format: Article
Language:English
Subjects:
Acute Kidney Injury - etiology
Acute Kidney Injury - therapy
Biological and medical sciences
Constriction, Pathologic - etiology
Cystoscopy - adverse effects
Electrocoagulation - adverse effects
General aspects
Humans
Iatrogenic Disease
Kidney Transplantation
Male
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Nephropathies. Renovascular diseases. Renal failure
Polyps - surgery
Renal Dialysis
Renal failure
Ureteral Diseases - etiology
Urinary Bladder Diseases - surgery
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Summary:Ureteral obstruction and anastomotic leak represent the most common urologic complications of kidney transplantation. Delay in diagnosis or treatment can lead to allograft loss. Obstruction of the ureter occurs in 2% of kidney transplant recipients. Although the majority of cases are immediate technical complications of the operation, subsequent manipulation of the genitourinary system can result in iatrogenic ureteral injury. We report the case of a long-term kidney transplant recipient who developed obstructive uropathy and acute renal failure requiring dialysis after undergoing cystoscopy and bladder polyp fulguration. The etiology was inadvertent thermal injury of the ureteroneocystostomy incurred during the procedure. After attempted percutaneous management, definitive open repair resulted in a return of allograft function to baseline.
ISSN:0027-9684
1943-4693