PMC8105114_01
Coronal view of the CT scan showing hydronephrosis and clot in the transplanted ureter.
CRIT2021-9959074.001.jpg
PMC8105114_01_CRIT2021-9959074.001.jpg
fig1
A noncontrast CT scan of the abdomen and pelvis was suggestive of a blood clot mid to distal ureter and a large collection around the transplanted kidney (Figure 1).
Postnephrostogram on readmission with no distal flow of contrast in the ureter.
CRIT2021-9959074.002.jpg
PMC8105114_01_CRIT2021-9959074.002.jpg
fig2
The patient immediately underwent percutaneous drainage of seroma (triglyceride and creatinine levels did not reflect lymphocele or urinoma) and an urgent nephrostogram along with percutaneous nephroureteral stent placement (PCNU) (Figure 2).
Posttransplant day 44 nephrostogram with mid to distal ureter stricture and clot presence.
CRIT2021-9959074.003.jpg
PMC8105114_01_CRIT2021-9959074.003.jpg
fig3
Well-formed blood clots were removed by employing suction and basket extraction technique, and also a distal ureter stricture was identified (Figure 3).
Posttransplant day 72 nephrostogram with placement of double J stents and removal of percutaneous nephrostomy tube with free flow of contrast in the bladder lumen.
CRIT2021-9959074.004.jpg
PMC8105114_01_CRIT2021-9959074.004.jpg
fig4
On POD 72, the patient underwent a repeat IR nephrostogram with balloon dilatation of mid to distal ureteral stricture and placement of a double-J ureteral stent (Figure 4).