Urinary Obstruction of Transplanted Kidney Caused by Uterine Adenomyosis and 2-Year Posthysterectomy Psoas Abscess in Conjunction with Transplanted Kidney

Urinary obstruction of the transplanted kidney caused by uterine leiomyoma is an extremely rare condition. To the best of our knowledge, there are only two reports in English literature. Psoas abscess secondary to renal graft pyelonephritis is also uncommon. We present this unusual case and its trea...

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Main Authors: Yuta Takezawa, Yoshifumi Kadono, Takahiro Nohara, Atsushi Mizokami
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Transplantation
Online Access:http://dx.doi.org/10.1155/2016/7142537
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author Yuta Takezawa
Yoshifumi Kadono
Takahiro Nohara
Atsushi Mizokami
author_facet Yuta Takezawa
Yoshifumi Kadono
Takahiro Nohara
Atsushi Mizokami
author_sort Yuta Takezawa
collection DOAJ
description Urinary obstruction of the transplanted kidney caused by uterine leiomyoma is an extremely rare condition. To the best of our knowledge, there are only two reports in English literature. Psoas abscess secondary to renal graft pyelonephritis is also uncommon. We present this unusual case and its treatment course. A 43-year-old female presented with renal dysfunction. She was started on peritoneal dialysis from the age of 26 years and received kidney transplantation from her mother (living donor) at the age of 27 years. Computed tomography (CT) revealed right hydronephrosis and a large uterine mass compressing the distal ureter of the transplanted kidney. After a simple total hysterectomy, her renal function improved. Two years following the hysterectomy, she experienced painful urination, fever, right abdominal pain, and right lower limb pain. CT and T2-weighed magnetic resonance imaging of her pelvis demonstrated right psoas abscess in conjunction with transplanted kidney. She was treated with broad-spectrum antibiotics alone, which resulted in a good response. Urinary obstruction of the transplanted kidney caused by uterine leiomyoma is an extremely rare condition. Psoas abscess secondary to transplanted kidney pyelonephritis is also rare. We should keep these rare diseases in mind when treating such cases.
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spelling doaj-art-3995d67c684c40e081c437c46c7267902025-02-03T01:29:05ZengWileyCase Reports in Transplantation2090-69432090-69512016-01-01201610.1155/2016/71425377142537Urinary Obstruction of Transplanted Kidney Caused by Uterine Adenomyosis and 2-Year Posthysterectomy Psoas Abscess in Conjunction with Transplanted KidneyYuta Takezawa0Yoshifumi Kadono1Takahiro Nohara2Atsushi Mizokami3Department of Urology, Kanazawa University Hospital, 13-1 Takara-machi, Kanazawa, JapanDepartment of Urology, Kanazawa University Hospital, 13-1 Takara-machi, Kanazawa, JapanDepartment of Urology, Kanazawa University Hospital, 13-1 Takara-machi, Kanazawa, JapanDepartment of Urology, Kanazawa University Hospital, 13-1 Takara-machi, Kanazawa, JapanUrinary obstruction of the transplanted kidney caused by uterine leiomyoma is an extremely rare condition. To the best of our knowledge, there are only two reports in English literature. Psoas abscess secondary to renal graft pyelonephritis is also uncommon. We present this unusual case and its treatment course. A 43-year-old female presented with renal dysfunction. She was started on peritoneal dialysis from the age of 26 years and received kidney transplantation from her mother (living donor) at the age of 27 years. Computed tomography (CT) revealed right hydronephrosis and a large uterine mass compressing the distal ureter of the transplanted kidney. After a simple total hysterectomy, her renal function improved. Two years following the hysterectomy, she experienced painful urination, fever, right abdominal pain, and right lower limb pain. CT and T2-weighed magnetic resonance imaging of her pelvis demonstrated right psoas abscess in conjunction with transplanted kidney. She was treated with broad-spectrum antibiotics alone, which resulted in a good response. Urinary obstruction of the transplanted kidney caused by uterine leiomyoma is an extremely rare condition. Psoas abscess secondary to transplanted kidney pyelonephritis is also rare. We should keep these rare diseases in mind when treating such cases.http://dx.doi.org/10.1155/2016/7142537
spellingShingle Yuta Takezawa
Yoshifumi Kadono
Takahiro Nohara
Atsushi Mizokami
Urinary Obstruction of Transplanted Kidney Caused by Uterine Adenomyosis and 2-Year Posthysterectomy Psoas Abscess in Conjunction with Transplanted Kidney
Case Reports in Transplantation
title Urinary Obstruction of Transplanted Kidney Caused by Uterine Adenomyosis and 2-Year Posthysterectomy Psoas Abscess in Conjunction with Transplanted Kidney
title_full Urinary Obstruction of Transplanted Kidney Caused by Uterine Adenomyosis and 2-Year Posthysterectomy Psoas Abscess in Conjunction with Transplanted Kidney
title_fullStr Urinary Obstruction of Transplanted Kidney Caused by Uterine Adenomyosis and 2-Year Posthysterectomy Psoas Abscess in Conjunction with Transplanted Kidney
title_full_unstemmed Urinary Obstruction of Transplanted Kidney Caused by Uterine Adenomyosis and 2-Year Posthysterectomy Psoas Abscess in Conjunction with Transplanted Kidney
title_short Urinary Obstruction of Transplanted Kidney Caused by Uterine Adenomyosis and 2-Year Posthysterectomy Psoas Abscess in Conjunction with Transplanted Kidney
title_sort urinary obstruction of transplanted kidney caused by uterine adenomyosis and 2 year posthysterectomy psoas abscess in conjunction with transplanted kidney
url http://dx.doi.org/10.1155/2016/7142537
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