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Martin Schiff, Jr., MD; Edward J. McGuire, MD; John Webster, MD

Arch Surg. 1975;110(9):1129-1132.

Abstract
Caliceal fistulas are unusual complications of renal transplantation. Segmental renal infarction and distal ureteral obstruction may be contributing factors in their formation. Two cases are reported, the first probably a result of segmental renal infarction from failure to recognize and anastomose an accessory renal artery, the second possibly related to blunt trauma to the area of the graft in an automobile accident and ureteral obstruction resulting from blood clots. Nephrostomy drainage through a healthy area of renal parenchyma was instrumental in the salvage of both kidneys.

Author Affiliations
From the Section of Urology (Drs. Schiff and McGuire) and the Department of Radiology (Dr. Webster), Yale University School of Medicine, New Haven, Conn.

Footnotes
Accepted for publication Feb 24, 1975.

Reprint requests to Yale University School of Medicine, 789 Howard Ave, New Haven, CT 06504 (Dr. Schiff).

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