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CASE REPORT
Stent extrusion on the external surface of the transplanted kidney: unusual occurrence
  1. Rahul Janak Sinha1,
  2. Abdul Hammad2,
  3. Ajay Sharma2
  1. 1Department of Urology, King George’s Medical University, Lucknow, India
  2. 2Department of Transplant Surgery, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK
  1. Correspondence to Dr Rahul Janak Sinha, rahuljanaksinha{at}yahoo.co.in

Summary

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.

  • renal transplantation
  • renal intervention
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Footnotes

  • Contributors RJS is the principal author, drafted the initial manuscript and edited subsequent drafts. AH and AS are coauthors for this study, conceptualised the manuscript along with evaluation, and revised and edited the manuscript. RJS performed data collection. All authors edited the manuscript and approved the final submitted version. All the authors participated in planning, conception and design, acquisition of data and reporting the data related to this manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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