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Recurrent clot anuria following laparoscopic pyeloplasty in a solitary functioning kidney: managing with double guide

Santosh Kumar1, Shivanshu Singh1, Kalpesh Mahesh Parmar1

  • 1Department of Urology, PGIMER, Chandigarh, India.

BMJ Case Reports
|December 26, 2014
PubMed

Clot anuria in a solitary functioning kidney is an emergency situation. Haematuria with clot anuria in an early postoperative period represents a challenge, as treatment options are limited. Manipulation of the anastomotic site may lead to anastomotic disruption and urinoma while use of thrombolytic therapy poses the danger of increasing haematuria. We report a case of anuria due to clot retention in the upper tract following laparoscopic dismembered pyeloplasty in a solitary functioning kidney, managed successfully with double guide wire technique.

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