Post transplant ureteric stenosis causing allograft hydronephrosis and calyceal rupture: salvage side to side ureteroneocystostomy.
A 26-year-old lady with end stage renal disease who received a cadaveric renal transplant, presented with ureteral stenosis as well as calyceal rupture due to hydronephrosis that was unresponsive to balloon dilation and the allograft was salvaged by a side to side ureteroneocystostomy. The symptoms and renal function improved and patency of the side to side uretroneocystostomy was confirmed post operatively and also at seventeen month follow-up. It may be reasonable to treat post-transplant ureteral stenosis resistant to balloon dilation with this technique. However, long-term follow-up is required to evaluate the efficacy of this treatment.
Baig
Mirza Anzar
MA
Department of Renal Transplant Surgery, Riyadh Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia. anzar786@yahoo.com
Khan
Taqi
T
Mousa
Dujana
D
D000328:Adult; D002404:Catheterization / Q000295:instrumentation; D003559:Cystostomy; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D007670:Kidney Calices / Q000503:physiopathology / Q000601:surgery*; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects*; D011877:Radionuclide Imaging; D012086:Reoperation; D012422:Rupture, Spontaneous; D016879:Salvage Therapy; D015607:Stents; D014184:Transplantation, Homologous; D016896:Treatment Outcome; D014517:Ureteral Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D014519:Ureterostomy; D014567:Urography