Peripelvic Extravasation After Living Donor Kidney Transplant: A Case Report |
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| Affiliation: | 1. Urology Unit, Department of Surgical Sciences, University of Rome Tor Vergata, Rome, Italy;2. HPB and Transplant Surgery Unit, Department of Surgical Sciences, University of Rome Tor Vergata, Rome, Italy;1. Division of Clinical Pharmacy, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil;2. Heart Transplant Program, Division of Cardiology, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil;3. Interventional Cardiology Unit, Division of Cardiology, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil;1. Hematology Department, Mexican Social Security Institute, National Medical Center Siglo XXI, Mexico City, Mexico;2. Pathology Department, Mexican Social Security Institute, National Medical Center Siglo XXI, Mexico City, Mexico;3. Medical Research Unit in Immunochemistry, Mexican Institute of Social Security, National Medical Center Siglo XXI, Mexico City, Mexico;1. Institute of Hepatobiliary Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China;2. Department of Radiology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China |
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| Abstract: | The patient was a 33-year-old man. A living donor kidney transplant from his father was performed, and a double-J ureteric stent was placed in the ureter of the transplanted kidney during surgery. Postoperatively, after the urethral catheter was removed, he presented with lower right abdominal pain when excessively strained during defecation. A computed tomography scan showed fluid retention in the retroperitoneal space around the transplanted kidney, and a drainage tube was placed. Urinary components were detected in the drainage, and the patient was diagnosed with peripelvic extravasation. Because the surgical wound opened during the course of treatment, debridement and wound treatment were performed. The patient underwent hyperbaric oxygen therapy, and peripelvic extravasation and wound dehiscence both improved. |
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