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Diffuse parenchymal urine leak after kidney transplantation following degloving injury during donor nephrectomy
K L Mekeel1, M J Mazur, K S Reddy
1Department of Transplant Surgery, Mayo Clinic, Phoenix, AZ, USA. mekeel.kristin@mayo.edu
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.
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