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Ureteral obstruction following partial nephrectomy: can it be caused by fibrin glue?
University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
Feb 2015 (Vol. 22, Issue 1, Pages( 7674 - 7676)
PMID: 25694019

    Abstract

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  • Fibrin sealants are widely used during partial nephrectomy, however reports regarding the potential complications associated with their use are limited. We present the case of a 67-year-old male who developed delayed ureteral obstruction without hydronephrosis following partial nephrectomy in a solitary kidney. We hypothesize that the obstruction and absence of hydronephrosis were caused by extrinsic compression and subsequent inflammation due to the fibrin glue. Our report underscores the importance of a high index of suspicion for obstruction when acute kidney injury occurs following partial nephrectomy when fibrin glue is used, even in the absence of collecting system dilatation.

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