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Colovesical Fistula After Renal Transplantation: Case Report.

A Imafuku1, K Tanaka1, Y Marui1

  • 1Department of Nephrology Center, Toranomon Hospital, Tokyo, Japan.

Transplantation Proceedings
|September 13, 2015
PubMed
Summary

Colovesical fistula, a rare complication, can occur after renal transplantation, often presenting as recurrent urinary tract infections. Surgical intervention successfully treated the condition, preserving kidney graft function.

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Area of Science:

  • Gastroenterology
  • Nephrology
  • Surgical Innovation

Background:

  • Colovesical fistula is a rare condition, typically associated with diverticular disease.
  • Reports of colovesical fistula following renal transplantation are infrequent.
  • Recurrent urinary tract infections (UTIs) can be a presenting symptom in transplant recipients.

Observation:

  • A 53-year-old male renal transplant recipient presented with recurrent UTIs.
  • The patient was diagnosed with colovesical fistula 5 months post-transplantation.
  • Diverticular disease was noted as a potential contributing factor.

Findings:

  • Laparoscopic partial sigmoid colon resection with Hartmann's procedure was performed.
  • The patient experienced no recurrent UTIs 6 months post-surgery.

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  • Renal graft function remained preserved after the intervention.

    • Implications:

    • Colovesical fistula should be considered in renal transplant recipients with recurrent UTIs.
    • Early diagnosis and surgical management are crucial for favorable outcomes.
    • Maintaining renal graft function is a key consideration in managing this complication.