Simultaneous pancreas-kidney transplantation in the mycophenolate mofetil/tacrolimus era: Evolution from induction therapy with bladder drainage to noninduction therapy with enteric drainage

Surgery ◽  
2000 ◽  
Vol 128 (4) ◽  
pp. 726-737 ◽  
Author(s):  
Dixon B. Kaufman ◽  
Joseph R. Leventhal ◽  
Alan Koffron ◽  
Mihai Gheorghiade ◽  
Michael D. Elliott ◽  
...  
2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
David Tovmassian ◽  
Linda Tang ◽  
Ahmer M Hameed ◽  
Jinna Yao ◽  
Peter Daechul Yoon ◽  
...  

Abstract Small bowel obstruction (SBO) following intraperitoneal renal transplantation, either solitary or due to simultaneous pancreas-kidney transplantation, is a known complication. While SBO is most commonly due to adhesions, there have been documented cases of internal herniation following simultaneous pancreas-kidney transplantation with enteric drainage due to the formation of a mesenteric defect. We present a unique complication in which the transplant ureter has caused strangulation and necrosis of a length of small intestine. The transplant ureter was mistaken for a band adhesion and divided. Post-operative anuria signalled this difficult diagnosis. Subsequent re-look laparotomy and ureteric reimplantation with Boari flap were required. Therefore, it is important to consider the ureter as a cause of internal herniation in kidney transplant patients and recognize that a band adhesion within the pelvis may in fact be the transplant ureter, obstructing a loop of small intestine beneath its course.


2015 ◽  
Vol 47 (1) ◽  
pp. 120-122 ◽  
Author(s):  
I. Fernández-Burgos ◽  
M.C. Montiel Casado ◽  
J.A. Pérez-Daga ◽  
J.M. Aranda-Narváez ◽  
B. Sánchez-Pérez ◽  
...  

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