URINARY FISTULA FROM SEGMENTAL INFARCTION IN A TRANSPLANTED KIDNEY: RECOVERY FOLLOWING SURGICAL REPAIR

Abstract

A urinary fistula following renal allotransplantation is a serious complication (Pletka et al. , 1969; Starzl et al. , 1970). The leakage is usually from the site of the ureteric anastomosis and occurs either early following operation, or a little later, associated with rejection. An unusual site of leakage is reported in this paper which occurred in the third postoperative month. The site of origin was from a large infarcted section of the kidney following localised arterial spasm during the operation. A method of successful repair is described.