Introduction: Urological complications after renal transplantation are one of the main causes of patient morbi-mortality and delayed recovery of renal graft function. Urinary fistula is a rare urological complication that occurs early after renal transplantation and may lead to graft loss and patient’s death. Here, there is a report that we have made to the observation of a patient with a delayed urinary fistula after renal transplantation. Observation: This was a 60-year-old male patient, with kidney failure due to undetermined nephropathy. He has developed urine leakage 30 days after renal transplantation caused by ischaemic necrosis of the distal ureter, treated surgically with a good outcome. Conclusion: The prevention of surgical complications of transplan-tation requires careful preparation of the transplant, and strict adherence to good surgical practice.
Cite this paper
Maakoul, S. E. , Ibrahimi, A. , Nouini, Y. , Ouzeddoun, N. and Bouattar, T. (2024). Delayed Urinary Fistula after Kidney Transplantation: A Case Report. Open Access Library Journal, 11, e2093. doi: http://dx.doi.org/10.4236/oalib.1112093.
Secin, F.P., Rovegno, A.R., Marrugat, R.E.J., Virasoro, R., Lautersztein, G.A. and Fernández, H. (2002) Compar-ing Taguchi and Lich-Gregoir Ureterovesical Reimplantation Techniques for Kidney Transplants. Journal of Urology, 168, 926-930. https://doi.org/10.1016/s0022-5347(05)64544-2
Mah, T., Mallon, D.H., Brew-ster, O., Saeb‐Parsy, K., Butler, A.J., Bradley, J.A., et al. (2017) Ureteric Complica-tions in Recipients of Kidneys from Donation after Circulatory Death Donors. Clinical Transplantation, 31, e12912. https://doi.org/10.1111/ctr.12912
El‐Mekresh, M., Osman, Y., Ali‐El‐Dein, B., El‐Diasty, T. and Ghoneim, M.A. (2001) Urological Complica-tions after Living‐Donor Renal Transplantation. BJU International, 87, 295-306. https://doi.org/10.1046/j.1464-410x.2001.00113.x-1
Shoskes, D. and Jiménez, J.A. (2014) Urological Complications after Kidney Transplantation. In: Morris, P.J. and Knechtle, S.J., Eds., Kidney Transplantation-Principles and Practice, 7th Edition, Saunders, 464-471. https://doi.org/10.1016/b978-1-4557-4096-3.00029-5
Hamouda, M., Sharma, A. and Halawa, A. (2018) Urine Leak after Kidney Transplant: A Review of the Literature. Experimental and Clinical Transplantation, 1, 90-95.
Kumar, S., Ameli-Renani, S., Hakim, A., Jeon, J.H., Shrivastava, S. and Patel, U. (2014) Ureteral Obstruction Following Renal Transplantation: Causes, Diagnosis and Management. The British Journal of Ra-diology, 87, Article 20140169. https://doi.org/10.1259/bjr.20140169
Dinckan, A., Tekin, A., Turkyilmaz, S., Kocak, H., Gurkan, A., Erdogan, O., et al. (2007) Early and Late Urological Complications Corrected Surgically Following Renal Transplantation. Transplant International, 20, 702-707. https://doi.org/10.1111/j.1432-2277.2007.00500.x
Li Marzi, V., Filocamo, M.T., Dattolo, E., Zanazzi, M., Paoletti, M.C., Marzocco, M., et al. (2005) The Treatment of Fistulae and Ureteral Stenosis after Kidney Transplantation. Transplantation Proceed-ings, 37, 2516-2517. https://doi.org/10.1016/j.transproceed.2005.06.049
Fayek, S.A., Keenan, J., Haririan, A., Cooper, M., Barth, R.N., Schweitzer, E., et al. (2012) Ureteral Stents Are Associated with Reduced Risk of Ureteral Complications after Kidney Transplantation. Transplantation, 93, 304-308. https://doi.org/10.1097/tp.0b013e31823ec081
