RT Book, Section A1 Miyara, Santiago J A1 Guevara, Sara A1 Molmenti, Ernesto P A2 Molmenti, Ernesto Pompeo SR Print(0) ID 1194189467 T1 Urinoma Associated with Outflow Obstruction T2 Molmenti’s Kidney and Pancreas Transplantation: Operative Techniques and Medical Management, 2e YR 2023 FD 2023 PB McGraw Hill PP New York, NY SN 9781260474275 LK accesssurgery.mhmedical.com/content.aspx?aid=1194189467 RD 2024/03/28 AB FIGURE 112-127Deceased donor kidney recipient (made no urine prior to transplantation) who had a ureteral stent and a retro-peritoneal drain placed at the time of transplantation. The urinary catheter (increasing amounts of urine being produced) and the retro-peritoneal drain (no output) were removed prior to discharge. Recipient presented to the ER 36 hours after discharge complaining of abdominal pain associated initially with frequency that evolved into oliguria. The site of the transplant showed a tender palpable mass. CT scan images revealed a 22 cm × 14 cm fluid collection (green arrows) around the transplanted kidney (yellow arrows). The ureteral stent could be seen (orange arrow). The recipient was re-admitted with a diagnosis of bladder outlet obstruction leading to increased urinary pressure causing a hypertensive urinary leak at the ureter to bladder anastomosis. Initial treatment was with re-insertion of a urinary catheter (to relieve the urinary obstruction) and placement of a retro-peritoneal drain (to evacuate the collection).Graphic Jump LocationView Full Size||Download Slide (.ppt)