CASE 27: Small Bowel Obstruction Associated with an Adhesion at the Site of a Peritoneal Defect Sustained During Kidney Transplantation

Intra-operative images showing an adhesion at the site of a defect in the peritoneum most likely sustained at the time of kidney transplantation. The small bowel obstruction was relieved by transecting this single adhesion. This case illustrates the risk associated with defects in the peritoneal lining. Based on this rationale, we do NOT advocate the purposeful creation of small peritoneal openings at the time of transplantation with the intention of preventing post-operative lymphoceles or other fluid collections.