title: [Ureteral implantation in peritoneum. Exceptional complication in renal transplantation].
abstract: Because of the extraperitoneal location, generally used for renal grafting, intraperitoneal urine leaks are a rare complication after transplantation. We report a patient on peritoneal dialysis who developed ascites, abdominal pain, anuria and shock suddenly after renal transplantation. The patient was immediately taken back to the operating room. An abnormal implantation of ureter into the peritoneum overlying the bladder when carrying out an unstented parallel incision extravesical ureterone-ocystostomy was identified. After correcting ureter implantation the patient had immediate diuresis, renal function rapidly improved, with no further complications. Contributing causes were poor exposure, thickened peritoneum secondary to recurrent peritonitis, and the presence of residual peritoneal dialysis fluid.
authors.affiliation: Servicio de Nefrología, Hospital Clínico Universitario, Facultad de Medicina, Santiago de Compostela, A Coruña.
authors.forename: M
authors.initials: M
authors.lastname: Blanco Parra
authors.forename: J
authors.initials: J
authors.lastname: Calviño
authors.forename: R
authors.initials: R
authors.lastname: Romero Burgos
authors.forename: J
authors.initials: J
authors.lastname: Puñal Rodríguez
authors.forename: F
authors.initials: F
authors.lastname: Rodríguez-Segade
authors.forename: J
authors.initials: J
authors.lastname: Lema Grille
authors.forename: D
authors.initials: D
authors.lastname: Sánchez-Guisande
authors.forename: E
authors.initials: E
authors.lastname: Varo Pérez
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D010537:Peritoneum / Q000601:surgery*; D014513:Ureter / Q000601:surgery*