Premium
Diffuse Parenchymal Urine Leak After Kidney Transplantation Following Degloving Injury During Donor Nephrectomy
Author(s) -
Mekeel K. L.,
Mazur M. J.,
Reddy K. S.,
Mulligan D. C.,
Heilman R. L.,
Chakkera H. A.,
Andrews P. E.,
Moss A. A.
Publication year - 2007
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/j.1600-6143.2007.01870.x
Subject(s) - medicine , urinoma , degloving , nephrectomy , kidney , surgery , renal function , urology , urine , kidney transplantation , transplantation
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.