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Review
. 2013 Mar;30(1):87-90.
doi: 10.1055/s-0033-1333658.

Management of transcecal renal transplant nephrostomy

Jamie Hosmer  1 , Brian Funaki  1
Affiliations
Review

Management of transcecal renal transplant nephrostomy

Jamie Hosmer et al. Semin Intervent Radiol. 2013 Mar.
No abstract available

PubMed Disclaimer

Figures

Figure 1
Figure 1
Unenhanced computed tomography demonstrates transcecal placement of indwelling nephrostomy tube with nephroenteric fistula. Solid arrow shows transcecal placement. Open arrow shows pigtail in transplant kidney.
Figure 2
Figure 2
Hydronephrosis with new nephrostomy tube (white arrow) in appropriate position. Black arrow indicates prior transcecal nephrostomy tube.
Figure 3
Figure 3
Tandem wire technique. Tandem guidewires were then placed through the sheath into both the cecum and transplant kidney.
Figure 4
Figure 4
Cecal catheterization while maintaining access to the transplant kidney. Black arrow shows wire in cecum. White arrow shows wire in transplant kidney.
Figure 5
Figure 5
Amplatzer plug deployment across fistula. Arrow shows Amplatzer plug and deployment system.
Figure 6
Figure 6
Final image of cecostomy and nephrostomy tube.
Figure 7
Figure 7
Schematic representation of Amplatzer plug, cecostomy tube, and transplant nephrostomy tubes.
Figure 8
Figure 8
Two-month follow-up examination, following contrast injection via the nephrostomy tube, reveals no communication between the cecostomy (black arrow) and nephrostomy (white arrow) tubes.
Figure 9
Figure 9
Four-month follow-up computed tomography confirms the positioning of the Amplatzer plug (arrow) within the renal parenchyma.
See this image and copyright information in PMC

References

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