Ureteral obstruction following partial nephrectomy: can it be caused by fibrin glue?

Can J Urol. 2015 Feb;22(1):7674-6.

Abstract

Fibrin sealants are widely used during partial nephrectomy, however reports regarding the potential complications associated with their use are limited. We present the case of a 67-year-old male who developed delayed ureteral obstruction without hydronephrosis following partial nephrectomy in a solitary kidney. We hypothesize that the obstruction and absence of hydronephrosis were caused by extrinsic compression and subsequent inflammation due to the fibrin glue. Our report underscores the importance of a high index of suspicion for obstruction when acute kidney injury occurs following partial nephrectomy when fibrin glue is used, even in the absence of collecting system dilatation.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anuria / etiology
  • Fibrin Tissue Adhesive / adverse effects*
  • Humans
  • Male
  • Nephrectomy / adverse effects*
  • Nephrectomy / methods
  • Tissue Adhesives / adverse effects*
  • Ureteral Obstruction / etiology*

Substances

  • Fibrin Tissue Adhesive
  • Tissue Adhesives