Necrotic pancreatic graft causing acute urinary retention.
Urologic complications are frequently encountered after pancreas transplantation with a graft duodenocystostomy. Urinary infections, hematuria, and irritative voiding symptoms are some of the most frequent complications with a bladder-drained pancreas allograft. While voiding dysfunction is common in these patients due to underlying neuropathy, to our knowledge, we report the first case of obstructive uropathy in a female due to retained necrotic graft material.
Laven
Brett A
BA
Section of Urology, Department of Surgery, University of Chicago, Chicago, IL 60637, USA. blaven2@hotmail.com
Rapp
David E
DE
Avila
Desiderio
D
O'connor
R Corey
RC
Bales
Gregory T
GT
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D003558:Cystoscopy; D004386:Duodenum / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016030:Kidney Transplantation; D016035:Pancreas Transplantation / Q000473:pathology*; D019283:Pancreatitis, Acute Necrotizing / Q000150:complications* / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications; D012086:Reoperation; D001743:Urinary Bladder / Q000601:surgery; D016055:Urinary Retention / Q000209:etiology* / Q000473:pathology / Q000601:surgery