RESUMEN

We report a case of refractory bladder fistula in a diabetic renal allograft recipient that recurred shortly after conventional operative repair without any detectable external cause. After reoperation and use of a vascularized rectus muscle flap the fistula closed and the patient has retained excellent graft function. It is suggested that this technique should be considered as the primary repair modality for bladder fistulas in diabetic recipients, when wound healing is impaired seriously as a consequence of the combined effects of diabetic microangiopathy and steroid therapy.

Asunto(s)

Trasplante de Riñón , Colgajos Quirúrgicos , Fístula de la Vejiga Urinaria/cirugía , Adulto , Diabetes Mellitus Tipo 1/cirugía , Nefropatías Diabéticas/cirugía , Humanos , Masculino , Complicaciones Posoperatorias/cirugía , Recurrencia , Reoperación , Fístula de la Vejiga Urinaria/etiología , Cicatrización de Heridas