Acute urinary retention secondary to a urethral calculus in a bladder-drained kidney pancreas transplant patient - a metallic clip nidus.
Urological expertise is usually required for the management of any urological complications of bladder-drained pancreatic allografts whether they are the result of simultaneous pancreas-kidney transplants, pancreas after kidney transplants, or pancreas transplants alone. This study presents a case of urinary retention secondary to prostatic urethra calculus impaction, the nidus of which was found to be metallic staples from the donor duodenal segment of a pancreatic allograft. Knowledge of the pre-transplant benchwork gave a high index of suspicion to the urological sequelae of this case and, in particular, the presence of calculi should suggest a metal clip nidus. We examine the methods of exocrine pancreatic drainage, donor duodenum preparation and case management.
Smith
J B K
JB
Department of Urology and Transplantation, Guy's Hospital, London, UK. juliansmith@doctors.org.uk
Sairam
K
K
Olsburgh
J
J
D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008670:Metals / Q000009:adverse effects*; D008875:Middle Aged; D016035:Pancreas Transplantation; D013525:Surgical Instruments / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D014545:Urinary Calculi / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D016055:Urinary Retention / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology
D008670:Metals