Enterocystoplasty (bladder augmentation) is a method of increasing bla
dder capacity in patients with small or neurogenic bladders in order t
o prevent vesicoureteral reflux, In patients with poorly compliant bla
dders, enterocystoplasty, which consists of a segment of detubularized
small bowel or a portion of the stomach attached to the bladder, ofte
n helps to reduce the intravesicular pressures, thus reducing the like
lihood of infection, It is also useful in treating bladder dysfunction
in children with end-stage renal disease who require renal transplant
ation. Radiographic evaluation of patients with a renal transplant and
augmented bladder often can be confusing, and may suggest a urine lea
k or hematoma, We report a patient with a renal transplant, bladder au
gmentation, and rising serum creatinine who underwent renal scintigrap
hy and ultrasonography.