<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852018000400315</article-id>
<article-id pub-id-type="doi">10.24245/revmexurol.v78i4.1691</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colocación de un balón de oclusión ureteral para el tratamiento de la fístula urinaria posterior a trasplante renal. Reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Placement of a ureteral occlusion balloon catheter for the treatment of urinary fistula after kidney transplantation. A case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-Martínez]]></surname>
<given-names><![CDATA[Isaac Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Vásquez]]></surname>
<given-names><![CDATA[Roberto Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chente-Casado]]></surname>
<given-names><![CDATA[Justino López]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vega-Castro]]></surname>
<given-names><![CDATA[Ramiro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez-Gálvez]]></surname>
<given-names><![CDATA[Ariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-García]]></surname>
<given-names><![CDATA[Ana Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galeana-Maya]]></surname>
<given-names><![CDATA[Octavio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Acosta]]></surname>
<given-names><![CDATA[Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero-Reyes]]></surname>
<given-names><![CDATA[Sergio I.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General del Estado de Sonora  ]]></institution>
<addr-line><![CDATA[Hermosillo ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<volume>78</volume>
<numero>4</numero>
<fpage>315</fpage>
<lpage>320</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852018000400315&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852018000400315&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852018000400315&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  La incidencia de fístula urinaria posterior a un trasplante renal varía de 1.2-8.9% de los caso, esta complicación se ha relacionado con necrosis isquémica del uréter. Se recomienda la aplicación de catéter doble J para disminuir su incidencia.  CASO CLÍNICO:  Paciente femenina de 42 años, quien recibió trasplante renal de donador cadavérico, con reimplante ureterovesical mediante la técnica Lich-Gregoir para anastomosis. Catorce días después del procedimiento inició con salida espontánea de orina por el sitio donde se localizaba el drenaje quirúrgico. El tratamiento inicial consistió en derivación vesical durante cuatro semanas, sin mejoría del cuadro clínico, por lo que se decidió la colocación de un balón de oclusión de 34 Fr x 65 cm (Boston Occluder®) junto al catéter vesical, además de nefrostomía percutánea. Se logró disminuir el gasto urinario después de una semana y en la tercera se realizó pielografía anterógrada sin evidencia de fuga urinaria; se le retiró el balón de oclusión y se colocó un catéter doble J, con permanencia del catéter de nefrostomía pinzado y la derivación vesical por catéter transuretral. A seis semanas del procedimiento se retiró el catéter ureteral. Luego de 12 meses de seguimiento se observó el cierre completo de la fístula, los volúmenes urinarios y las concentraciones de azoados se encontraron dentro de los parámetros normales, y no se evidenciaron datos de afectación del injerto renal.  CONCLUSIONES:  La colocación de un balón de oclusión ureteral, además de nefrostomía, representa una nueva alternativa en el tratamiento de pacientes con fistula proximal de alto volumen.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND: The incidence of urinary fistula after kidney transplantation presents in 1.2 to 8.9% of cases and has been associated with ischemic necrosis of the ureter. Double-J catheter use is recommended to reduce its incidence.  CLINICAL CASE: A 42-year-old woman underwent a deceased-donor kidney transplantation with ureterovesical reimplantation through the Lich-Gregoire technique. Fourteen days after the procedure she presented with spontaneous urine leakage from the site of the surgical drain. Initial management was bladder diversion for four weeks. There was no improvement and so a 34 Fr x 65 cm (Boston Occluder®) ureteral occlusion balloon catheter was placed next to the bladder catheter and percutaneous nephrostomy was performed. Reduced urine output was achieved after one week. Antegrade pyelography was carried out at week 3 and showed no urine leakage. The occlusion balloon catheter was removed, and a double-J catheter was placed. The clamped nephrostomy and the bladder diversion through the transurethral catheter remained. The ureteral catheter was removed six weeks after the procedure. After 12 months of follow-up the fistula was completely closed, urine volume and serum creatinine, serum urea, and blood urea nitrogen levels were within normal parameters. There were no signs of a compromised kidney graft.  CONCLUSIONS:  The placement of a ureteral occlusion balloon catheter, in addition to nephrostomy, is a new alternative in the treatment of patients with high-volume proximal fistula.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Balón de oclusión]]></kwd>
<kwd lng="es"><![CDATA[fístula urinaria]]></kwd>
<kwd lng="es"><![CDATA[trasplante renal]]></kwd>
<kwd lng="es"><![CDATA[tratamiento endoscópico]]></kwd>
<kwd lng="en"><![CDATA[Occlusion balloon]]></kwd>
<kwd lng="en"><![CDATA[urinary fistula]]></kwd>
<kwd lng="en"><![CDATA[Kidney transplantation]]></kwd>
<kwd lng="en"><![CDATA[Endoscopic treatment]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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