Ureteric Stricture following Pediatric Dual En-Bloc Renal Transplantation
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Copyright: © 2018 . This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
This is a case report examining a urine leak and ureteric stricture following pediatric dual en-bloc renal transplantation. Despite intraoperative ureteric stenting, and post-operative nephrostomy, urinary leak continued. Both grafts grew in size from 5 cm at implantation, to 9.5 cm within 3 months. Ureteric reconstruction would expose the patient to unacceptable risk of losing both grafts, thanks to the close proximity of the ureters. A transplant nephrectomy of the obstructed graft was therefore undertaken. Transplant nephrectomy of 1 obstructed graft could also be a viable option following an enbloc transplantation, where the remaining kidney can still provide sufficient renal replacement therapy