Diffuse parenchymal urine leak after kidney transplantation following degloving injury during donor nephrectomy

Am J Transplant. 2007 Aug;7(8):2039-41. doi: 10.1111/j.1600-6143.2007.01870.x. Epub 2007 Jun 18.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Follow-Up Studies
  • Humans
  • Intraoperative Complications*
  • Kidney / injuries*
  • Kidney / surgery
  • Kidney Transplantation / adverse effects*
  • Kidney Transplantation / methods
  • Laparoscopy / adverse effects*
  • Middle Aged
  • Nephrectomy / adverse effects*
  • Nephrectomy / methods
  • Reoperation
  • Tissue Donors*
  • Tissue and Organ Procurement / methods*
  • Treatment Failure