title: Ureteral obstruction following partial nephrectomy: can it be caused by fibrin glue?
abstract: Fibrin sealants are widely used during partial nephrectomy, however reports regarding the potential complications associated with their use are limited. We present the case of a 67-year-old male who developed delayed ureteral obstruction without hydronephrosis following partial nephrectomy in a solitary kidney. We hypothesize that the obstruction and absence of hydronephrosis were caused by extrinsic compression and subsequent inflammation due to the fibrin glue. Our report underscores the importance of a high index of suspicion for obstruction when acute kidney injury occurs following partial nephrectomy when fibrin glue is used, even in the absence of collecting system dilatation.
authors.affiliation: University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
authors.forename: Timothy D
authors.initials: TD
authors.lastname: Lyon
authors.forename: Katherine M
authors.initials: KM
authors.lastname: Theisen
authors.forename: Kevin J
authors.initials: KJ
authors.lastname: Rycyna
authors.forename: Ronald M
authors.initials: RM
authors.lastname: Benoit
mesh_terms: D000368:Aged; D001002:Anuria / Q000209:etiology; D015718:Fibrin Tissue Adhesive / Q000009:adverse effects*; D006801:Humans; D008297:Male; D009392:Nephrectomy / Q000009:adverse effects* / Q000379:methods; D014014:Tissue Adhesives / Q000009:adverse effects*; D014517:Ureteral Obstruction / Q000209:etiology*
chemical_list: D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives