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Case Reports
. 2017 Jul-Aug;43(4):776-778.
doi: 10.1590/S1677-5538.IBJU.2016.0386.

Minimally Invasive Radiologic Uretero-calycostomy; a salvage procedure for late transplant rejection ureter necrosis

Erich K Lang  1
Affiliations
Case Reports

Minimally Invasive Radiologic Uretero-calycostomy; a salvage procedure for late transplant rejection ureter necrosis

Erich K Lang. Int Braz J Urol. 2017 Jul-Aug.
No abstract available

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Conflict of interest statement

Conflict of interest: None declared.

Figures

Figure 1
Figure 1. PA view: A percutaneous antegrade nephro-ureterogram demonstrates stenosis and ulcerations (arrow) in the dilated segment of the right transplant ureter. A double ”J” stent is seen in the left transplant ureter, likewise an attempt to foster healing of this ulcerated ureter. Avascular necrosis of ureter
Figure 2
Figure 2. PA view: A stent has been seated via antegrade percutaneous approach from the transplant kidney pelvis into the bladder. The nephrostomy (arrow) is maintained to ensure ready access. Double J stent seated and percutaneous nephrostomy seated
Figure 3
Figure 3. AP view: A rigid ureteroscope has been advanced in the native ureter under fluoroscopic guidance close to the dilated hydrocalyx of the right transplant kidney. The pelvis is accessed by needle-puncture through the ureteroscope and a guide wire introduced.
Figure 4
Figure 4. AP view: A double “J” stent from transplant kidney pelvis to bladder has been seated over the guide wire in the native ureter. The nephrostomy has been maintained as safety measure to ensure ready access.
See this image and copyright information in PMC

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