Ileo-Pelvic Anastomosis and Augmentation Cystoplasty for Treatment of Encrusted Pyelitis in a Transplanted Kidney
Chin Chur, Chung Jae-Sung, 오철규, 김성철, 박상현, 홍성우,
소속 상세정보
( Chin Chur )
Inje University College of Medicine Haeundae Paik Hospital Department of Urology
( Chung Jae-Sung )
Inje University College of Medicine Haeundae Paik Hospital Department of Urology
오철규 ( Oh Cheol-Kyu )
Inje University College of Medicine Haeundae Paik Hospital Department of Urology
김성철 ( Kim Seong-Chul )
Inje University College of Medicine Haeundae Paik Hospital Department of Urology
박상현 ( Park Sang-Hyun )
Inje University College of Medicine Haeundae Paik Hospital Department of Urology
홍성우 ( Hong Seong-Woo )
Inje University College of Medicine Seoul Paik Hospital Department of Urology
KMID : 0358320130540020143
Abstract
Infection stones are more likely to form after urinary diversion as the result of urinary stasis. To prevent urinary stasis due to encrusted pyelitis in a transplanted kidney, we describe an alternative a surgical treatment: ileo-pelvic anastomosis. In our patient with a transplanted kidney, the ileal conduit had previously been anastomosed end-to-side owing to renal tuberculosis with an atrophied bladder; the transplanted ureter was anastomosed to the ileum in the left lower abdomen with an ileal conduit on the opposite side. Routine check-up revealed hydronephrosis with infected pyelitis and ureteritis in the transplanted kidney. We performed ileo-pelvic end-to-end anastomosis to prevent urinary stasis by lengthening the ileal conduit and performed augmentation cystoplasty to support the atrophied bladder following tuberculosis. We suggest that this approach may be useful in similar cases.
키워드
Kidney transplantation;Pyelitis;Urinary diversion
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