Ureteral obstruction following partial nephrectomy: can it be caused by fibrin glue?
Lyon, T.D.; Theisen, K.M.; Rycyna, K.J.; Benoit, R.M.
Canadian Journal of Urology 22(1): 7674-7676
2015
ISSN/ISBN: 1195-9479 PMID: 25694019 Document Number: 682416
Fibrin sealants are widely used during partial nephrectomy, however reports regarding the potential complications associated with their use are limited. We present the case of a 67-year-old male who developed delayed ureteral obstruction without hydronephrosis following partial nephrectomy in a solitary kidney. We hypothesize that the obstruction and absence of hydronephrosis were caused by extrinsic compression and subsequent inflammation due to the fibrin glue. Our report underscores the importance of a high index of suspicion for obstruction when acute kidney injury occurs following partial nephrectomy when fibrin glue is used, even in the absence of collecting system dilatation.