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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2010  |  Volume : 21  |  Issue : 3  |  Page : 504-506
Post transplant ureteric stenosis causing allograft hydronephrosis and calyceal rupture: Salvage side to side ureteroneocystostomy


1 Department of Renal Transplant Surgery, Riyadh Armed Forces Hospital Riyadh, Kingdom of Saudi Arabia
2 Department of Nephrology, Riyadh Armed Forces Hospital Riyadh, Kingdom of Saudi Arabia

Correspondence Address:
Mirza Anzar Baig
Renal Transplant Unit, Nephrology Department, Riyadh Armed Forces Hospital, P.O. Box 7897, Riyadh 11159, Kingdom of Saudi Arabia

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PMID: 20427877

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A 26 years old lady with End Stage Renal Disease who received a cadaveric renal trans­plant, presented with ureteral stenosis as well as calyceal rupture due to hydronephrosis that was unresponsive to balloon dilation and the allograft was salvaged by a side to side ureteroneo­cystostomy. The symptoms and renal function improved and patency of the side to side uretroneo­cystostomy was confirmed post operatively and also at seventeen month follow-up. It may be rea­sonable to treat post-transplant ureteral stenosis resistant to balloon dilation with this technique. However, long-term follow-up is required to evaluate the efficacy of this treatment.


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