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Case Reports
. 2012 Jan;2(1):1-5.
doi: 10.1159/000336626. Epub 2012 Feb 8.

Bladder Rupture following Conversion to Enteric Drainage after Pancreatic Transplantation

Affiliations
Case Reports

Bladder Rupture following Conversion to Enteric Drainage after Pancreatic Transplantation

Vikas Srivastava et al. Case Rep Nephrol Urol. 2012 Jan.

Abstract

Complications associated with bladder-drained pancreatic transplant are not uncommon and include urinary tract infections and reflux pancreatitis. Bladder rupture with peritoneal leak is a rare complication after pancreatic transplantation and can present as an acute abdomen with rapidly deteriorating renal function. We describe the first case of a urine leak into the peritoneal cavity occurring after conversion from bladder to enteric drainage. A high index of suspicion is required to diagnose such a complication.

Keywords: Bladder rupture; Pancreatic transplantation.

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Figures

Fig. 1
Fig. 1
Cystogram with contrast in the urinary bladder and early escape of contrast superior to the bladder.
Fig. 2
Fig. 2
a Urinary bladder located. b Omentum mobilised. c Rupture on the dome identified. d Omental patch sited.

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