Reconstruction of ureteropelvic junction of allotransplantated kidney using contralateral ureter


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Resumo

The article discusses the possible urological complications after kidney transplantation and the possible reasons for their development. The case of using the contralateral ureter in the reconstruction of ureteropelvic junction due to necrosis of the donor ureter in a patient 53 years old is presented. This patient had a history of right kidney transplantation in the left iliac region (28 August 2012,) for 5 degree chronic kidney disease. Ureteropyeloanastomosis with its own ureter was made. In the removed kidney, multilocular cystic clear cell renal cell carcinoma was revealed. After 2 weeks, due to the non-viability of the transplanted kidney ureter, it was decided to isolate the contralateral ureter and perform anastomosis with renal pelvis of donor kidney. In August 20і3, rejection episode was registered, and transplantatectomy was performed. In 29 December 20і3, second kidney transplantation in the right iliac region was performed. 6 months after, the patient's condition is satisfactory. It is emphasized that the use of the contralateral ureter in this patient was a desperate measure, because total necrosis of the ureter, the difficulties in the isolation of the bladder due to adhesions in the retroperitoneal space had not allowed to perform pyelovesicoanastomosis.

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Bibliografia

  1. Li Marzi V., Filocamo M.T., Dattolo E. The treatment of fistulae and ureteral stenosis after kidney transplantation // Transplant Proc. - 2005. - Vol. 37. - P. 2516.
  2. Latchamsetty K.C., Mital D., Jensik S. Use of collagen injections for vesicoureteral reflux in transplanted kidney // Transplant Proc. - 2003. - Vol. 35. - P. 1378.
  3. Streeter E.H., Little D.M., Cranston D.W. The urological complications of renal transplantation: a serues of 1535patients // BJU Int. - 2002. - Vol. 90. - P. 627.
  4. Krol R., Ziaja J., Chudek J. Surgical treatment of urological complications after kidney transplantation // Transplant Proc. - 2006. - Vol. 38. - 127.
  5. Verduyckt F.J.H., Heesakkers J.P.F.A. Long - term result of ileum interposition for ureteral obstruction // European Urology. - 2002. - Vol. 42. - P. 181.
  6. Loughlin K.R., Tilney N.L., Richie J.P. Urologic complication in 718 renal transplant patients // Surgery. - 1984. - Vol. 95. - P. 297 - 302.
  7. Hunter D.W., Coleman C.C. Percutaneous techniques in the manegement of urologic complications in renal transplant patients // Radijlogy. - 1983. - Vol. 148. - P. 407 - 412.
  8. Schiff M.Ir., Lytton B. Secondary ureteropyelostomy in renal transplant recipient // J. Urol. - 1981. - Vol. 126. - P. 723 - 725.
  9. Лопаткин Н.А., Трапезникова М.Ф., Перлин Д.В. и др. Урологические осложнения при трансплантации почки. - М.: ГЭОТАР-МЕД. - 2004.
  10. List A.R., Blohme I., Brynger H. Ballon dilation for ureteral strictures in graft kidney // Transplantation. - 1983. - Vol. 35. - P. 105.
  11. Mundy A.R., Podesta M.L. The urological complications of 1000 renal transplants // Br. J. Urol. - 1981. - Vol. 53. - P. 397- 402.
  12. Sagalowsky A.I., Ransler C.W., Branch W.T. Urologic complications in renal transplants with early catheter removal // Ibid. - 1983. - Vol. 129. - P. 929-932.
  13. Donnelly P.K., Farndon J.R. Donor ureteric calculus presenting as acute rejection in a renal transplantat recipient // Br. Med. J. - 1984. - Vol. 288. - P. 1961-1962.
  14. Herwing K.R., Konnak J.W. Vesicopyelostomy: a method for urinary drainage of the transplanted kidney // J. Urol. - 1973. - Vol. 109. - P. 955-957.
  15. Waltzer W.C., Anaise D., Asari H. Management of urogigic transplant complications by utilization of the host ureter // Transpl. Proc. - 1983. - Vol. 4. - P. 2152-2156.
  16. Dreikorn K., Horsch R. Haufigkein, Ursachen und Bedeutung des Refluxes bei Niereninsuffizienz und nach Nierentransplantation // Aktuel. Urol. - 1981. - Vol. 12. - P. 64- 68.
  17. Anderson M.J., Middleton R.G. Secondary pyeloureterostomy with an intact ureter // Ibid. - 1982. - Vol. 128. - P. 247-248.

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