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ORIGINAL ARTICLE
Year : 2010  |  Volume : 2  |  Issue : 11  |  Page : 537-539

Unusual complication of percutaneous nephrostomy in a renal transplant recipient


1 Department of Medicine I, University of Luebeck, Germany
2 Department of Radiology, University of Luebeck, Germany

Correspondence Address:
Christian S Haas
University Hospital Schleswig-Holstein Campus Luebeck, Department of Medicine I, Ratzeburger Allee 160, 23538 Luebeck
Germany
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Source of Support: None, Conflict of Interest: None


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Context: Ureteral obstruction, resulting in impaired graft function, is a well-known problem following renal transplantation. Management of ureteral complications includes percutaneous nephrostomy, which is considered to be a safe and effective measure. Case Report: Here, we demonstrate a case of a 35-year old renal allograft recipient with primary graft function but stagnating serum creatinine following extraction of the double-J catheter. Ureteral stenosis was suspected by ultrasound imaging and magnetic resonance tomography, and urinary flow was preserved with a percutaneous nephrostomy. However, early displacement of the percutaneous nephrostomy catheter resulted in distinct clinical discomfort. CT imaging suggested an intra-abdominal position of the catheter's tip, requiring immediate surgical action. Conclusion: The present case demonstrates that performing PCN following renal transplantation may have unexpected risks.


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