title: Spontaneous bladder rupture and cytomegalovirus infection complicating renal transplantation: cause or coincidence?
abstract: The high incidence of surgical complications following renal transplantation is well known. Urologic complications, however, present some of the most challenging problems to the transplant surgeon. The authors present here a detailed case report of spontaneous (delayed) bladder rupture (SDBR) which occurred 90 days after kidney transplantation in a recipient with cytomegalovirus infection (CMV). Urinary catheter drainage is recommended in preference to surgical intervention for the successful correction of SDBR. It is postulated further that, despite a negative bladder biopsy, CMV may have infiltrated the bladder and contributed to this "spontaneous" bladder wall rupture.
mesh_terms: D000328:Adult; D002404:Catheterization; D003586:Cytomegalovirus Infections / Q000150:complications*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D016030:Kidney Transplantation; D009400:Nephrosclerosis / Q000628:therapy; D012422:Rupture, Spontaneous; D001745:Urinary Bladder Diseases / Q000150:complications* / Q000628:therapy