Peripelvic Extravasation After Living Donor Kidney Transplant: A Case Report

The patient was a 33-year-old man. A living donor kidney transplant from his father was performed, and a double-J ureteric stent was placed in the ureter of the transplanted kidney during surgery. Postoperatively, after the urethral catheter was removed, he presented with lower right abdominal pain when excessively strained during defecation. A computed tomography scan showed fluid retention in the retroperitoneal space around the transplanted kidney, and a drainage tube was placed. Urinary components were detected in the drainage, and the patient was diagnosed with peripelvic extravasation. Because the surgical wound opened during the course of treatment, debridement and wound treatment were performed. The patient underwent hyperbaric oxygen therapy, and peripelvic extravasation and wound dehiscence both improved.