Diffuse parenchymal urine leak after kidney transplantation following degloving injury during donor nephrectomy.
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.
Mekeel
K L
KL
Department of Transplant Surgery, Mayo Clinic, Phoenix, AZ, USA. mekeel.kristin@mayo.edu
Mazur
M J
MJ
Reddy
K S
KS
Mulligan
D C
DC
Heilman
R L
RL
Chakkera
H A
HA
Andrews
P E
PE
Moss
A A
AA
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