AI Article Synopsis

  • A case study details a 40-year-old man who received a kidney transplant and had a double J stent placed in the new kidney during surgery.
  • It was discovered post-surgery that the stent had perforated the kidney tissue and was extruding from the kidney surface.
  • The medical team chose not to remove or replace the stent, opting for conservative management, which resulted in a satisfactory recovery for the patient and marks a first in literature for this type of stent issue in a transplanted kidney.

Article Abstract

Here we present the case of a 40-year-old man, who underwent deceased donor renal transplantation. Towards the end of this operation, open-ended double J stent was inserted in the transplanted kidney. Modified Lich-Gregoir ureterovesical anastomosis was performed. Prior to the abdominal closure, it was discovered that proximal end of the stent had pierced the renal parenchyma and extruded on the external surface of the transplanted kidney. We contemplated removing the stent and reinserting it but decided against that due to various reasons. The stent was left as such. The patient was managed conservatively with satisfactory outcome in the postoperative period. To the best of our knowledge, this is first such report of conservative management of stent extrusion in transplanted kidney in the literature.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5753728PMC
http://dx.doi.org/10.1136/bcr-2017-221783DOI Listing

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