North American Journal of Medical Sciences

ORIGINAL ARTICLE
Year
: 2010  |  Volume : 2  |  Issue : 11  |  Page : 537--539

Unusual complication of percutaneous nephrostomy in a renal transplant recipient


Martin Nitschke1, Martina Paetzel2, Christian S Haas1 
1 Department of Medicine I, University of Luebeck, Germany
2 Department of Radiology, University of Luebeck, Germany

Correspondence Address:
Christian S Haas
University Hospital Schleswig-Holstein – Campus Luebeck, Department of Medicine I, Ratzeburger Allee 160, 23538 Luebeck
Germany

Context: Ureteral obstruction, resulting in impaired graft function, is a well-known problem following renal transplantation. Management of ureteral complications includes percutaneous nephrostomy, which is considered to be a safe and effective measure. Case Report: Here, we demonstrate a case of a 35-year old renal allograft recipient with primary graft function but stagnating serum creatinine following extraction of the double-J catheter. Ureteral stenosis was suspected by ultrasound imaging and magnetic resonance tomography, and urinary flow was preserved with a percutaneous nephrostomy. However, early displacement of the percutaneous nephrostomy catheter resulted in distinct clinical discomfort. CT imaging suggested an intra-abdominal position of the catheter«SQ»s tip, requiring immediate surgical action. Conclusion: The present case demonstrates that performing PCN following renal transplantation may have unexpected risks.


How to cite this article:
Nitschke M, Paetzel M, Haas CS. Unusual complication of percutaneous nephrostomy in a renal transplant recipient.North Am J Med Sci 2010;2:537-539


How to cite this URL:
Nitschke M, Paetzel M, Haas CS. Unusual complication of percutaneous nephrostomy in a renal transplant recipient. North Am J Med Sci [serial online] 2010 [cited 2022 Dec 4 ];2:537-539
Available from: https://www.najms.org/article.asp?issn=1947-2714;year=2010;volume=2;issue=11;spage=537;epage=539;aulast=Nitschke;type=0