Refractory Hematuria in an Oliguric Patient After Pancreas Transplantation with Exocrine Pancreas Bladder Drainage

Kiss, Bernhard; Birkhäuser, Frédéric D.; Fleischmann, Achim; Candinas, Daniel; Studer, Urs E.; Kessler, Thomas M. (2011). Refractory Hematuria in an Oliguric Patient After Pancreas Transplantation with Exocrine Pancreas Bladder Drainage. European urology, 59(3), pp. 462-464. Amsterdam: Elsevier 10.1016/j.eururo.2009.06.025

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A 52-yr-old man presented with hematuria and clot retention. He had undergone simultaneous pancreas-kidney transplantation with exocrine pancreas bladder drainage 16 yr ago. The patient suffered from progressive transplant kidney failure with gradually decreasing urine output and needed hemodialysis every other day. Gross hematuria persisted after removal of all blood clots. Cystoscopy showed multiple small, flat ulcers of the bladder mucosa. Some bled discretely and were coagulated cautiously. However, hematuria was refractory to multiple urological interventions, which eventually necessitated an enteric diversion of the exocrine pancreas. Hematuria ceased following an uneventful postoperative course.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Urology
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery
04 Faculty of Medicine > Service Sector > Institute of Pathology

UniBE Contributor:

Birkhäuser, Frédéric; Fleischmann, Achim; Candinas, Daniel; Studer, Urs and Kessler, Thomas M.

Subjects:

600 Technology > 610 Medicine & health
500 Science > 570 Life sciences; biology

ISSN:

0302-2838

ISBN:

19560858

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:07

Last Modified:

14 Dec 2014 12:25

Publisher DOI:

10.1016/j.eururo.2009.06.025

PubMed ID:

19560858

Web of Science ID:

000286658600033

BORIS DOI:

10.7892/boris.17

URI:

https://boris.unibe.ch/id/eprint/17 (FactScience: 165594)

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