Enzymatic digestion of the urethra after pancreatic transplantation: a case report.
The most common method of exocrine drainage in pancreatic transplantation is urinary drainage. With the shift from enteric drainage and duct occlusion techniques, there has been a concomitant shift from intraabdominal to urological complications. We present a case in which a simultaneous pancreas-kidney (SPK) transplant recipient developed urethral disruption and associated bladder outlet obstruction 11 months following surgery.
Mullaney
J M
JM
Department of Radiology, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298-0615, USA.
DeMeo
J H
JH
Ham
J M
JM
D000328:Adult; D002918:Chymotrypsin / Q000652:urine*; D003559:Cystostomy; D003922:Diabetes Mellitus, Type 1 / Q000000981:diagnostic imaging / Q000201:enzymology / Q000601:surgery*; D003928:Diabetic Nephropathies / Q000000981:diagnostic imaging / Q000201:enzymology / Q000601:surgery*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging / Q000201:enzymology; D005500:Follow-Up Studies; D006801:Humans; D016030:Kidney Transplantation / Q000502:physiology*; D008297:Male; D016035:Pancreas Transplantation / Q000502:physiology*; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000201:enzymology; D014357:Trypsin / Q000652:urine*; D014522:Urethral Diseases / Q000000981:diagnostic imaging* / Q000201:enzymology; D001748:Urinary Bladder Neck Obstruction / Q000000981:diagnostic imaging* / Q000201:enzymology; D014548:Urinary Fistula / Q000000981:diagnostic imaging* / Q000201:enzymology; D014567:Urography
D002918:Chymotrypsin; D014357:Trypsin