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Published in: Updates in Surgery 3/2013

01-09-2013 | Case Report

An unusual complication of renal transplantation: a fistula between the sigmoid colon and the graft

Authors: Valerio Masiero, Camillo Orsini, Sara-Maria Tosato, Maurizio Nordio, Emilio Morpurgo

Published in: Updates in Surgery | Issue 3/2013

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Excerpt

The wide-spreading of organ transplantation [13] with consequent immuno-suppressive and steroid therapy [4] has led to an increase of complications of the gastro-intestinal tract, with percentages ranging from 8 to 20 % [57]. Complications include perforated gastro-duodenal ulcers, cholecystitis, acute pancreatitis, appendicitis, perforated or fistulized diverticulitis, pseudo-membranous colitis, and perianal fistulas [5, 6]. Diverticulitis is the most common cause of colonic perforation in the renal-transplanted population. These complications have high morbidity and mortality rates in immuno-suppressed patients [5]. …
Literature
1.
go back to reference Arend SM, Mallat MJK, Westtendop RJW, van der Woude FJ, van Es LA (1997) Patient survival after renal transplantation; more than 25 years follow-up. Nefrol Dial Transpl 12:1672–1679CrossRef Arend SM, Mallat MJK, Westtendop RJW, van der Woude FJ, van Es LA (1997) Patient survival after renal transplantation; more than 25 years follow-up. Nefrol Dial Transpl 12:1672–1679CrossRef
2.
go back to reference Jain AB, Kashyap R, Rakela J, Starzl TE, Fung JJ (2003) Primary adult liver transplantation under tacrolimus: more than 90 months actual follow-up survival and adverse events. Liver Transpl 5(2):144–150 Jain AB, Kashyap R, Rakela J, Starzl TE, Fung JJ (2003) Primary adult liver transplantation under tacrolimus: more than 90 months actual follow-up survival and adverse events. Liver Transpl 5(2):144–150
3.
go back to reference Deuse T, Haddad F, Pham M, Hunt S, Valantine H, Bates MJ, Mallidi HR, Oyer PE, Robbins RC, Reitz BA (2008) Twenty-year survivors of heart transplantation at Stanford University. Am J Transpl 8(9):1769–1774CrossRef Deuse T, Haddad F, Pham M, Hunt S, Valantine H, Bates MJ, Mallidi HR, Oyer PE, Robbins RC, Reitz BA (2008) Twenty-year survivors of heart transplantation at Stanford University. Am J Transpl 8(9):1769–1774CrossRef
4.
go back to reference Nicholson ML, Donnelly PK, Veitch PS, Bell PRF (1991) Anti-rejection therapy in renal transplantation: use of the monoclonal antibody OKT3. Nefrol Dial Transpl 6:275–279 Nicholson ML, Donnelly PK, Veitch PS, Bell PRF (1991) Anti-rejection therapy in renal transplantation: use of the monoclonal antibody OKT3. Nefrol Dial Transpl 6:275–279
5.
go back to reference Lao A,Bach D (1988) Colonic complication in renal transplant recipients. Dis Colon Rectum 31(2):130–133 Lao A,Bach D (1988) Colonic complication in renal transplant recipients. Dis Colon Rectum 31(2):130–133
6.
go back to reference Mueller XM, Tevaearai HT, Stumpe F, Hurni M, Ruchat P, Fischer AP, Seydoux C, Goy JJ, von Segesser LK (1999) Gastrointestinal disease following heart transplantation world. J Surg 23(7):650–655 (discussion 655–656) Mueller XM, Tevaearai HT, Stumpe F, Hurni M, Ruchat P, Fischer AP, Seydoux C, Goy JJ, von Segesser LK (1999) Gastrointestinal disease following heart transplantation world. J Surg 23(7):650–655 (discussion 655–656)
7.
go back to reference Miozzari M, Ambuhl PM (2004) Steroid withdrawal after long-term medication for immunosuppressive therapy in renal transplant patients: adrenal response and clinical implications. Nefrol Dial Transpl 19(10):2615–2621CrossRef Miozzari M, Ambuhl PM (2004) Steroid withdrawal after long-term medication for immunosuppressive therapy in renal transplant patients: adrenal response and clinical implications. Nefrol Dial Transpl 19(10):2615–2621CrossRef
9.
go back to reference Nishimori H, Hirata K, Fukui R, Sasaki M, Yasoshima T, Nakajma F, Hata F, Kobayashi K (2003) Vesico-ileosigmoidal fistula caused by diverticulitis: report of a case and literature review in Japan. J Korean Med Sci 18:433–436PubMed Nishimori H, Hirata K, Fukui R, Sasaki M, Yasoshima T, Nakajma F, Hata F, Kobayashi K (2003) Vesico-ileosigmoidal fistula caused by diverticulitis: report of a case and literature review in Japan. J Korean Med Sci 18:433–436PubMed
10.
go back to reference Rodrigo E, Ruiz JC, Lopez-Rasines G, Calabia A, Fernandez- Fresnedo G, Heras M, Zubimendi JA, Arias M (1998) Recurent graft pyelonephritis and pneumaturia resulting from a colovesical fistula secondary to silent diverticulitis. Nefrol Dial Transpl 13:1001–1003CrossRef Rodrigo E, Ruiz JC, Lopez-Rasines G, Calabia A, Fernandez- Fresnedo G, Heras M, Zubimendi JA, Arias M (1998) Recurent graft pyelonephritis and pneumaturia resulting from a colovesical fistula secondary to silent diverticulitis. Nefrol Dial Transpl 13:1001–1003CrossRef
11.
go back to reference Parker DM, Armstrong PJ, Frizzi JD, North JH Jr (2006) Porcine dermal collagen (Permacol) for abdominal wall reconstruction. Curr Surg 63(4):255–258PubMedCrossRef Parker DM, Armstrong PJ, Frizzi JD, North JH Jr (2006) Porcine dermal collagen (Permacol) for abdominal wall reconstruction. Curr Surg 63(4):255–258PubMedCrossRef
12.
go back to reference Catena F, Ansaloni L, Gagliardi S, Di Saverio S, D’Alessandro L, Pinna AD (2007) Use of porcine dermal collagen graft (Permacol) for hernia repair in contaminated fields. Hernia 11(1):57–60PubMedCrossRef Catena F, Ansaloni L, Gagliardi S, Di Saverio S, D’Alessandro L, Pinna AD (2007) Use of porcine dermal collagen graft (Permacol) for hernia repair in contaminated fields. Hernia 11(1):57–60PubMedCrossRef
13.
go back to reference Armellino MF, De Stefano G, Scardu F, Forner AL, Ambrosino F, Bellotti R, Robustelli U, De Stefano G (2006) Use of Permacol in complicated incisional Hernia. Chir Ital 58(5):627–630PubMed Armellino MF, De Stefano G, Scardu F, Forner AL, Ambrosino F, Bellotti R, Robustelli U, De Stefano G (2006) Use of Permacol in complicated incisional Hernia. Chir Ital 58(5):627–630PubMed
14.
go back to reference Hsu PW, Salgado CJ, Kent K, Finnegan M, Pello M, Simons R, Atabek U, Kann B (2009) Evaluation of porcine dermal collagen (Permacol) used in abdominal wall reconstruction. J Plast Reconstr Aesthet Surg 62(11):1484–1489PubMedCrossRef Hsu PW, Salgado CJ, Kent K, Finnegan M, Pello M, Simons R, Atabek U, Kann B (2009) Evaluation of porcine dermal collagen (Permacol) used in abdominal wall reconstruction. J Plast Reconstr Aesthet Surg 62(11):1484–1489PubMedCrossRef
15.
go back to reference Wotton FT, Akoh JA (2009) Rejection of permacol mesh used in abdominal wall repair: a case report. World J Gastroenterol 15(34):4331–4333PubMedCrossRef Wotton FT, Akoh JA (2009) Rejection of permacol mesh used in abdominal wall repair: a case report. World J Gastroenterol 15(34):4331–4333PubMedCrossRef
Metadata
Title
An unusual complication of renal transplantation: a fistula between the sigmoid colon and the graft
Authors
Valerio Masiero
Camillo Orsini
Sara-Maria Tosato
Maurizio Nordio
Emilio Morpurgo
Publication date
01-09-2013
Publisher
Springer Milan
Published in
Updates in Surgery / Issue 3/2013
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-012-0148-1

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