63腎臟移植後腎水腫:病例報告
董劭偉1、鄒鎧亦1,2
1台北醫學大學附設雙和醫院 泌尿科，2台北醫學大學 泌尿科
Hydronephrosis after renal transplantation: case report
Shao-Wei Dong1, Kai-Yi Tzou1,2
1Department of Urology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan
2Department of Urology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
 Figure 1｜pyelography showed severe stricture ureterovesical junction and guide wire cannot pass through
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 Figure 2｜ureterovesical junction under cystoscope
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A 57-year-old man had renal transplant 3 months ago. Decreased urine output and general fatigue was noted. Creatine rose to 8.94 mg/dL. Sonography showed hydronephrosis. Percutaneous nephrostomy and antegrsde pyelography was performed, but antegrade double-J insertion was failed due to guide wire cannot pass through ureterovesical junction with severe stricture (figure 1).
We performed cystoscopy and guide wire was inserted into ureterovesical junction difficultly (figure 2). Guide wire cannot advanced into the renal pelvis under fluoroscope. Therefore, we tried antegrade guide wire insertion and successfully advanced into bladder. Finally, Double-J was insertion in the position. We think this patient had problem of not only ureterovesical junction stricture but also ureter redundant cause hydronephrosis.
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