title: Diffuse parenchymal urine leak after kidney transplantation following degloving injury during donor nephrectomy.
abstract: Laparoscopic donor nephrectomy can result in trauma to the kidney which may affect recipient graft function. In this case, the kidney sustained a complete degloving of the capsule during extraction. The kidney was transplanted and had immediate, good renal function, but postoperative course was complicated by a large urinoma that drained through the wound. Exploration was negative for a defined urine leak, but the surface of the denuded kidney was leaking a significant amount of unconcentrated urine. The patient was successfully treated with tissue glue treatment to the kidney surface and peritoneal window.
authors.affiliation: Department of Transplant Surgery, Mayo Clinic, Phoenix, AZ, USA. mekeel.kristin@mayo.edu
authors.forename: K L
authors.initials: KL
authors.lastname: Mekeel
authors.forename: M J
authors.initials: MJ
authors.lastname: Mazur
authors.forename: K S
authors.initials: KS
authors.lastname: Reddy
authors.forename: D C
authors.initials: DC
authors.lastname: Mulligan
authors.forename: R L
authors.initials: RL
authors.lastname: Heilman
authors.forename: H A
authors.initials: HA
authors.lastname: Chakkera
authors.forename: P E
authors.initials: PE
authors.lastname: Andrews
authors.forename: A A
authors.initials: AA
authors.lastname: Moss
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications; D007668:Kidney / Q000293:injuries* / Q000601:surgery; D016030:Kidney Transplantation / Q000009:adverse effects* / Q000379:methods; D010535:Laparoscopy / Q000009:adverse effects*; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects* / Q000379:methods; D012086:Reoperation; D014019:Tissue Donors; D009927:Tissue and Organ Procurement / Q000379:methods*; D017211:Treatment Failure