Acute Urinary Retention Secondary to a Urethral Calculus in a Bladder-Drained Kidney Pancreas Transplant Patient

Abstract

Urological expertise is usually required for the management of any urological complications of bladder-drained pancreatic allografts whether they are the result of simultaneous pancreas–kidney transplants, pancreas after kidney transplants, or pancreas transplants alone. This study presents a case of urinary retention secondary to prostatic urethra calculus impaction, the nidus of which was found to be metallic staples from the donor duodenal segment of a pancreatic allograft. Knowledge of the pre-transplant benchwork gave a high index of suspicion to the urological sequelae of this case and, in particular, the presence of calculi should suggest a metal clip nidus. We examine the methods of exocrine pancreatic drainage, donor duodenum preparation and case management.

Keywords

Type 1 diabetes mellitus End-stage renal failure Pancreas transplant Allograft Calculus Nidus Bladder Duodenal segment

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Acute Urinary Retention Secondary to a Urethral Calculus in a Bladder-Drained Kidney Pancreas Transplant Patient – a Metallic Clip Nidus

Abstract

Keywords

References