Sharma Amit, Nayak Rahul U, Gupta Gaurav, Cotterell Adrian
Hume-Lee Transplant Center, Richmond, VA.
School of Medicine Virginia Commonwealth University, Richmond, VA.
Transplant Direct. 2018 Aug 27;4(9):e386. doi: 10.1097/TXD.0000000000000825. eCollection 2018 Sep.
Kidney transplantation is usually the best course of treatment for patients with end-stage renal disease. En bloc kidney transplantation (EBKT) is a surgical treatment option that increases available donor organs with excellent graft survival for patients with end-stage renal disease. Herein, we report a case of an unusual bilateral renal parenchymal urine leak after EBKT leading to removal of both moieties of the EBKT. This unfortunate complication after EBKT, to our knowledge, is the only reported of its kind. We explore the possible causes of the bilateral parenchymal urine leaks and suggest preventive strategies to avoid urological complications after EBKT.
肾移植通常是终末期肾病患者的最佳治疗方案。整块肾移植(EBKT)是一种外科治疗选择,可为终末期肾病患者增加可用的供体器官,并具有出色的移植物存活率。在此,我们报告一例整块肾移植术后罕见的双侧肾实质尿漏病例,导致整块肾移植的两个部分均被切除。据我们所知,这种整块肾移植术后的不幸并发症是此类报告中的首例。我们探讨了双侧实质尿漏的可能原因,并提出预防整块肾移植术后泌尿系统并发症的策略。