A case of living renal transplantation 34 years after whole pelvic radiation therapy for an ovarian tumor
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- Suto Yuta
- Department of Urology, Gunma University Graduate School of Medicine
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- Sekine Yoshitaka
- Department of Urology, Gunma University Graduate School of Medicine
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- Hatori Motoaki
- Department of Urology, Hidaka Hospital
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- Nomura Masashi
- Department of Urology, Gunma University Graduate School of Medicine
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- Arai Seiji
- Department of Urology, Gunma University Graduate School of Medicine
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- Miyazawa Yoshiyuki
- Department of Urology, Gunma University Graduate School of Medicine
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- Saitou Tomomi
- Department of Urology, Gunma University Graduate School of Medicine
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- Ohtsu Akira
- Department of Urology, Gunma University Graduate School of Medicine
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- Oka Daisuke
- Department of Urology, Gunma University Graduate School of Medicine
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- Nenoi Tsubasa
- Department of Urology, Gunma University Graduate School of Medicine
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- Sawada Tatsuhiro
- Department of Urology, Gunma University Graduate School of Medicine
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- Kanayama Azusa
- Department of Urology, Gunma University Graduate School of Medicine
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- Sunaga Risa
- Department of Urology, Gunma University Graduate School of Medicine
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- Sugino Akihiko
- Department of Urology, Gunma University Graduate School of Medicine
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- Shimizu Takanori
- Department of Urology, Gunma University Graduate School of Medicine
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- Tanaka Toshiyuki
- Department of Urology, Public Tomioka General Hospital
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- Machida Masami
- Department of Urology, Public Tomioka General Hospital
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- Hayashi Masamichi
- Azuma Hospital, Kosaku Clinic
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- Shibata Yasuhiro
- Department of Urology, Gunma University Graduate School of Medicine
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- Suzuki Kazuhiro
- Department of Urology, Gunma University Graduate School of Medicine
Bibliographic Information
- Other Title
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- 卵巣腫瘍に対する全骨盤照射34年後に生体腎移植を施行した1例
- ランソウ シュヨウ ニ タイスル ゼン コツバン ショウシャ 34ネンゴ ニ セイタイ ジン イショク オ シコウ シタ 1レイ
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Abstract
<p>[Background] Radiation therapy is known to cause radiation arteritis or ureteral anastomotic failure due to adhesion or impaired blood flow. We performed a living renal transplantation for a recipient with a history of whole pelvic radiation therapy for an ovarian tumor 34 years prior to the surgery. [Case presentation] The recipient and donor passed the preoperative diagnosis successfully. Abdominal CT of the recipient showed no signs of calcification or strictures or vascular endothelial hyperplasia of the internal iliac artery or external iliac vein. The surgery was performed in 7 hours without vascular anastomotic problems. The first urine was noted 12 minutes after vascular anastomosis. The surgery was considered to have proceeded without complications. However, on post-operative day 11, ureteral anastomotic leak occurred. The recipientʼs serum examination showed creatinine elevation. Abdominal CT revealed liquid effusion around the transplanted kidney. An effusion drainage test showed a high level of creatinine elevation. The leak was successfully resolved without major complications by implanting a double J-stent in the transplanted ureter, a drainage tube around the transplanted kidney, and a urethral catheter. On post-operative day 30, the recipient was discharged from our hospital in a favorable condition. [Conclusion] Preoperative vascular assessment with CT was helpful in this case. Also, pressure reduction in the urinary tract may effectively prevent or cure ureteral anastomotic leak.</p>
Journal
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- Nihon Toseki Igakkai Zasshi
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Nihon Toseki Igakkai Zasshi 56 (1), 19-22, 2023
The Japanese Society for Dialysis Therapy
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Details 詳細情報について
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- CRID
- 1390013474490676352
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- NII Book ID
- AN10432053
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- ISSN
- 1883082X
- 13403451
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- NDL BIB ID
- 032670164
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
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- Abstract License Flag
- Disallowed