Living‐related transplantation of an ectopic pelvic kidney

Abstract

Ectopic kidneys are usually contraindicated for transplantation as a result of anomalous vascular and drainage system. Graft shortage increases the need of expanding the donor pool and the use of ectopic pelvic kidneys might provide a small but useful source. Transplantation of an ectopic pelvic kidney is a technically demanding procedure and very few cases have been published. We present a case of a living-related kidney transplantation of an ectopic pelvic kidney. The donor was a healthy 65-year-old lady and preoperative work-up had showed a left ectopic pelvic kidney. The recipient was a 34-year-old male with a history of end-stage renal disease secondary to chronic glomerulonephritis. After the transplantation, there was an immediate function of the allograft and the donor's postoperative course was uneventful. The donor was discharged on the fifth postoperative day.

Sağ Pelvik Böbrekte Laparoskopik Donör Nefrektomi: Zorlu İkilem Olgusu

“…There are only a few case reports representing successfully transplanted pelvic kidney most probably due to the complexity of the anatomy (4)(5)(6)(7)8,9,(14)(15)(16)(17). In most of the cases this complexity necessitated an open surgical approach (5-8)).…”

“…The transplantation of ectopic kidneys was first reported in 1973 [4]. During the last three decades there are only a few case reports and most of them were open surgeries due to the complexity of the anatomy [5][6][7][8].…”