[Urine ascites in renal transplantation].
OBJECTIVE
To report a case of urinary ascites secondary to an urinoma produced by a pielic and proximal ureter fistula after kidney transplantation in a 21 year old male patient.


METHODS
Diagnosis was established by biochemical analysis of the perirenal fluid collection and ascitic fluid, and conservative management of the urinary tract by percutaneous nephrostomy was undertaken.


RESULTS
Surgical repair of the fistulae solved the case.


CONCLUSIONS
Urinary ascites is an unusual complication after kidney transplantation. Urinary tract fistula is the etiology in most of the cases although it can be idiopathic. In the case of urinary tract fistulae, conservative management can solve the case and surgical repair is the option when conservative treatment fails.
Mateos Blanco
Jesús
J
Servicio de Urología, Hospital Infanta Cristina, Badajoz, España.
Cabello Padial
José
J
Mariño del Real
Jorge
J
Toledo Serrano
María José
MJ
Caballero Gómez
Martín
M
Murillo Mirat
Jesús
J
Abengózar García
Angel
A
Cancho Castellano
Bárbara
B
D000328:Adult; D001201:Ascites / Q000209:etiology*; D006801:Humans; D007674:Kidney Diseases / Q000209:etiology; D007682:Kidney Pelvis; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D014515:Ureteral Diseases / Q000209:etiology*; D014548:Urinary Fistula / Q000209:etiology*; D014556:Urine