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RESIDENT’S CORNER

Ureteral obstruction following partial nephrectomy: can it be caused by fibrin glue?

Timothy D. Lyon, Katherine M. Theisen, Kevin J. Rycyna, Ronald M. Benoit

Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
Address correspondence to Dr. Timothy D. Lyon, Department of Urology, University of Pittsburgh Medical Center, 3471 Fifth Avenue, Suite 700, Pittsburgh, PA 15213 USA

Canadian Journal of Urology 2015, 22(1), 7674-7676.

Abstract

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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