Renal Autotransplantation for Iatrogenic High-Grade Ureteric Stricture
A 47-year-old Hispanic woman developed a chronically obstructed left kidney, due to a long-segment ureteric stricture deemed not amenable to reimplantation, following left ovarian cyst excision in 2004. Therefore, a ureteral stent requiring exchange every 3 months was necessary, due to hydronephrosi...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2012/259527 |
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| author | Jose Soto Soto Michael Phillips Joseph Cernigliaro William Haley |
| author_facet | Jose Soto Soto Michael Phillips Joseph Cernigliaro William Haley |
| author_sort | Jose Soto Soto |
| collection | DOAJ |
| description | A 47-year-old Hispanic woman developed a chronically obstructed left kidney, due to a long-segment ureteric stricture deemed not amenable to reimplantation, following left ovarian cyst excision in 2004. Therefore, a ureteral stent requiring exchange every 3 months was necessary, due to hydronephrosis, recurrent urosepsis, chronic pain, and a poor quality of life. Her medical history was complicated by hypertension, poorly controlled diabetes mellitus, and microalbuminuria, suggesting early diabetic nephropathy. A left nephrectomy was recommended. This was deferred, due to concern for progressive kidney failure associated with her comorbidities. A radionuclide Tc-99m MAG3 renal scan revealed differential perfusion as follows: 44% left kidney and 56% right kidney, with symmetrical uptake on the renogram phase and delayed excretion on the left, which were correctted following furosemide administration. A left ureteronephrectomy with autotransplantation of the left kidney and ureteroneocystostomy was performed in 2009. Since then, the patient has experienced no further complications or need for invasive procedures, with excellent diabetic control and stable renal function (eGFR > 60 mL/min/1.73 m2). This technique is seldom employed in the surgical management of complex ureteral injuries, but may be an alternative for appropriate cases. |
| format | Article |
| id | doaj-art-a7405c51aa8a4f6c921919524aeb9bb6 |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-a7405c51aa8a4f6c921919524aeb9bb62025-02-03T01:07:03ZengWileyCase Reports in Urology2090-696X2090-69782012-01-01201210.1155/2012/259527259527Renal Autotransplantation for Iatrogenic High-Grade Ureteric StrictureJose Soto Soto0Michael Phillips1Joseph Cernigliaro2William Haley3Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Internal Medicine, Mayo Clinic, Jacksonville, FL 32224, USADivision of Hypertension and Nephrology, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Diagnostic Radiology, Mayo Clinic, Jacksonville, FL 32224, USAA 47-year-old Hispanic woman developed a chronically obstructed left kidney, due to a long-segment ureteric stricture deemed not amenable to reimplantation, following left ovarian cyst excision in 2004. Therefore, a ureteral stent requiring exchange every 3 months was necessary, due to hydronephrosis, recurrent urosepsis, chronic pain, and a poor quality of life. Her medical history was complicated by hypertension, poorly controlled diabetes mellitus, and microalbuminuria, suggesting early diabetic nephropathy. A left nephrectomy was recommended. This was deferred, due to concern for progressive kidney failure associated with her comorbidities. A radionuclide Tc-99m MAG3 renal scan revealed differential perfusion as follows: 44% left kidney and 56% right kidney, with symmetrical uptake on the renogram phase and delayed excretion on the left, which were correctted following furosemide administration. A left ureteronephrectomy with autotransplantation of the left kidney and ureteroneocystostomy was performed in 2009. Since then, the patient has experienced no further complications or need for invasive procedures, with excellent diabetic control and stable renal function (eGFR > 60 mL/min/1.73 m2). This technique is seldom employed in the surgical management of complex ureteral injuries, but may be an alternative for appropriate cases.http://dx.doi.org/10.1155/2012/259527 |
| spellingShingle | Jose Soto Soto Michael Phillips Joseph Cernigliaro William Haley Renal Autotransplantation for Iatrogenic High-Grade Ureteric Stricture Case Reports in Urology |
| title | Renal Autotransplantation for Iatrogenic High-Grade Ureteric Stricture |
| title_full | Renal Autotransplantation for Iatrogenic High-Grade Ureteric Stricture |
| title_fullStr | Renal Autotransplantation for Iatrogenic High-Grade Ureteric Stricture |
| title_full_unstemmed | Renal Autotransplantation for Iatrogenic High-Grade Ureteric Stricture |
| title_short | Renal Autotransplantation for Iatrogenic High-Grade Ureteric Stricture |
| title_sort | renal autotransplantation for iatrogenic high grade ureteric stricture |
| url | http://dx.doi.org/10.1155/2012/259527 |
| work_keys_str_mv | AT josesotosoto renalautotransplantationforiatrogenichighgradeuretericstricture AT michaelphillips renalautotransplantationforiatrogenichighgradeuretericstricture AT josephcernigliaro renalautotransplantationforiatrogenichighgradeuretericstricture AT williamhaley renalautotransplantationforiatrogenichighgradeuretericstricture |