Case ReportA Veno-Caliceal Fistula Related to Ureteric Stricture in a Kidney Allograft Masquerading as Renal Failure
Section snippets
Case Report
The patient was a 60-year-old man with end-stage renal failure caused by diabetic nephropathy. He underwent cadaveric kidney transplantation in 2003 in another center after receiving a short period of temporary hemodialysis support. Details of the operation were not available. His maintenance immunosuppressive regimen consisted of cyclosporine A, mycophenolate mofetil, and prednisolone. The kidney graft had immediate function, and serum creatinine level decreased to 2.1 mg/dL (160 μmol/L) at 3
Discussion
Veno-caliceal fistula related to ureteric obstruction is a rare complication of renal transplantation, and to the best of our knowledge, we are the first group to show the presence of a veno-caliceal fistula in a renal allograft by means of radiological images.
A renal backflow phenomenon was observed in patients with acute ureteral obstruction when the kidney resorbs urine as a compensatory mechanism to allow continued excretion.1 The pyelovenous backflow phenomenon sometimes can be seen on
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Cited by (5)
Calyceal-venous fistula of the kidney: A rare case report and review of literature
2019, Urology Case ReportsCitation Excerpt :A fatality has been reported from calyceal-venous fistula secondary to urosepsis following percutaneous nephrolithotomy.4 This could possibly be explained due to systemic circulation of toxins and bacteria via the calyceal-venous fistula as described by Chan et al.5 In summary, we believe that this is an exceptionally rare surgical complication.
Pyelovenous fistula revealed by repeated thromboembolic events after emergency peripartum hysterectomy
2014, Gynecologie Obstetrique et FertiliteCoexisting intrarenal arteriovenous and caliceovenous fistulae after percutaneous nephrolithotomy: Case report and literature review
2013, Interventional Medicine and Applied ScienceManagement of renal vein injury during percutaneous nephrostolithotomy: An experience with 2 cases
2012, Academic Journal of Second Military Medical University
Originally published online as doi:10.1053/j.ajkd.2007.01.010 on February 22, 2007.
Support: None. Potential conflicts of interest: None.