Khalid Farouk, Uzma Bano, Murtaza Gondal


A 20 years old girl, had undergone surgery for meningocele six weeks after birth, suffered from
neurogenic bladder dysfunction. She underwent an augmentation ileocystoplasty and was trained
to perform clean intermittent self catheterization (CISC). After two years she developed renal
failure secondary to recurrent urinary tract infections and she was started on chronic hemodialysis.
On account of repeated line sepsis, a live related donor renal transplant was performed. About
three months after renal transplantation she reported in emergency with an episode of graft
rejection secondary to severe infection and later on complicated by leakage of urine from the renal
pelvis of the allograft into the peritoneal cavity suggestive of a rent. A percutaneous nephrostomy
of the allograft was performed which facilitated healing of the rent in the renal pelvis. The
nephrostomy was withdrawn and patient started voiding through urethral catheter and gradually
returned to CISC.
Keywords: Renal transplant; Augmentation cystoplasty; Renal failure

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