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胰肾联合移植术后肾盂瘘的成功处理

Successful management of calyceal fistula following simultaneous pancreas-kidney transplantation.

作者信息

Ciancio G, Burke G W, Nery J, Echenique A M, Miller J

机构信息

Department of Surgery, University of Miami School of Medicine, FL 33101, USA.

出版信息

Am Surg. 1998 Mar;64(3):267-9.

PMID:9520822
Abstract

Calyceal fistula is an unusual complication of renal transplantation. We report a case of calyceal fistula after simultaneous pancreas-kidney transplant that developed after thrombosis of a lower pole artery. Surgical correction was successfully achieved with a lower pole nephrectomy, closure of the involved calyces, and placement of a ureteral stent and a pedicle of greater omentum graft over the affected parenchyma.

摘要

肾盂瘘是肾移植的一种罕见并发症。我们报告一例胰肾联合移植术后发生的肾盂瘘病例,该肾盂瘘是在肾下极动脉血栓形成后出现的。通过肾下极肾切除术、封闭受累肾盏、置入输尿管支架以及在受影响的肾实质上方放置大网膜蒂移植片,成功实现了手术矫正。

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