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Successful Management of Caliceal Fistulas Following Renal Transplantation

Successful Management of Caliceal Fistulas Following Renal Transplantation Abstract Caliceal fistulas are unusual complications of renal transplantation. Segmental renal infarction and distal ureteral obstruction may be contributing factors in their formation. Two cases are reported, the first probably a result of segmental renal infarction from failure to recognize and anastomose an accessory renal artery, the second possibly related to blunt trauma to the area of the graft in an automobile accident and ureteral obstruction resulting from blood clots. Nephrostomy drainage through a healthy area of renal parenchyma was instrumental in the salvage of both kidneys. References 1. Starzl TE, Groth CG, Putnam CW, et al: Urological complication in 216 human recipients of renal transplants . Ann Surg 172:1-22, 1970.Crossref 2. Williams G, Birtch AG, Wilson RE, et al: Urological complication of renal transplantation . Br J Urol 42:21-27, 1970.Crossref 3. Robson AJ, Calne RY: Complication of urinary drainage following renal transplantation . Br J Urol 43:586-590, 1971.Crossref 4. Anderson EE, Glenn JF, Siegler HF, et al: Urologic complications in renal transplantation . J Urol 107:187-192, 1972. 5. Malek GH, Uehling DT, Daouk AA, et al: Urologic complications in renal transplantation . J Urol 109:173-176, 1973. 6. Fox M, Tottenham RC: Urinary fistula from segmental infarction in a transplanted kidney: Recovery following surgical repair . Br J Urol 44:336-338, 1972.Crossref 7. Mounger EJ: Hypertension resulting from segmental renal artery infarction . Urology 1:189-191, 1973.Crossref 8. Ross JA, Samuel E, Miller DR: Variations in the renal vascular pedicle . Br J Urol 33:478-485, 1961.Crossref 9. Belzer RO, Schweitzer RT, Dountz SL: Management of multiple vessels in renal transplantation . Transplant Proc 4:639-644, 1972. 10. Sullivan JJ, Palmer JM: Arterial considerations in renal transplantation . Urology 3:297-303, 1974.Crossref 11. Braun WT: Peripelvic extravasation during intravenous urography . Am J Roentgenol Radium Ther Nucl Med 98:41-46, 1966.Crossref 12. Schwartz BA, Caine M, Hermann G, et al: Spontaneous renal extravasation during intravenous urography . Am J Roentgenol Radium Ther Nucl Med 98:27-40, 1966.Crossref 13. Bossetor JB, Mackinnon KH, Gault MH, et al: Cadaver kidney transplants . Transplantation 5:844-853, 1967.Crossref 14. MacLean LD, MacKinnon KG, Inglis FG, et al: When should renal allografts be removed? Arch Surg 99:269-274, 1969.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Successful Management of Caliceal Fistulas Following Renal Transplantation

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Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1975.01360150073013
Publisher site
See Article on Publisher Site

Abstract

Abstract Caliceal fistulas are unusual complications of renal transplantation. Segmental renal infarction and distal ureteral obstruction may be contributing factors in their formation. Two cases are reported, the first probably a result of segmental renal infarction from failure to recognize and anastomose an accessory renal artery, the second possibly related to blunt trauma to the area of the graft in an automobile accident and ureteral obstruction resulting from blood clots. Nephrostomy drainage through a healthy area of renal parenchyma was instrumental in the salvage of both kidneys. References 1. Starzl TE, Groth CG, Putnam CW, et al: Urological complication in 216 human recipients of renal transplants . Ann Surg 172:1-22, 1970.Crossref 2. Williams G, Birtch AG, Wilson RE, et al: Urological complication of renal transplantation . Br J Urol 42:21-27, 1970.Crossref 3. Robson AJ, Calne RY: Complication of urinary drainage following renal transplantation . Br J Urol 43:586-590, 1971.Crossref 4. Anderson EE, Glenn JF, Siegler HF, et al: Urologic complications in renal transplantation . J Urol 107:187-192, 1972. 5. Malek GH, Uehling DT, Daouk AA, et al: Urologic complications in renal transplantation . J Urol 109:173-176, 1973. 6. Fox M, Tottenham RC: Urinary fistula from segmental infarction in a transplanted kidney: Recovery following surgical repair . Br J Urol 44:336-338, 1972.Crossref 7. Mounger EJ: Hypertension resulting from segmental renal artery infarction . Urology 1:189-191, 1973.Crossref 8. Ross JA, Samuel E, Miller DR: Variations in the renal vascular pedicle . Br J Urol 33:478-485, 1961.Crossref 9. Belzer RO, Schweitzer RT, Dountz SL: Management of multiple vessels in renal transplantation . Transplant Proc 4:639-644, 1972. 10. Sullivan JJ, Palmer JM: Arterial considerations in renal transplantation . Urology 3:297-303, 1974.Crossref 11. Braun WT: Peripelvic extravasation during intravenous urography . Am J Roentgenol Radium Ther Nucl Med 98:41-46, 1966.Crossref 12. Schwartz BA, Caine M, Hermann G, et al: Spontaneous renal extravasation during intravenous urography . Am J Roentgenol Radium Ther Nucl Med 98:27-40, 1966.Crossref 13. Bossetor JB, Mackinnon KH, Gault MH, et al: Cadaver kidney transplants . Transplantation 5:844-853, 1967.Crossref 14. MacLean LD, MacKinnon KG, Inglis FG, et al: When should renal allografts be removed? Arch Surg 99:269-274, 1969.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Sep 1, 1975

References