Transplanting Horseshoe Kidneys: A Worldwide Survey

Stroosma, Otto B.; Schurink, G.W.H.; Smits, Jacqueline M.; Kootstra, G.

doi:10.1016/s0022-5347(05)65501-2

Cited by 30 publications

(40 citation statements)

References 11 publications

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“…It is more common to fi nd the isthmus to contain only fi brous tissue. In cases of a thick isthmus, one study recommends evaluating the collecting system with contrast to ascertain anatomy and implanting it en bloc in case the collecting system crosses the isthmus [16]. After the transplantation, we observed urine leakage, which later led to sepsis.…”

Section: Discussionmentioning

confidence: 93%

Horseshoe kidney transplantation

Nemes

Kanyári

Zádori

et al. 2015

IMAS

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Abstract:Horseshoe kidney is a fusion anomaly found in approximately one in 400-600 people. Due to vascular and ureteral variations, transplantation with a horseshoe kidney presents a technical challenge. In our case, the isthmus connected the upper poles and contained parenchyma. It consisted of three renal arteries, fi ve veins collected to the inferior vena cava, and two ureters and pyelons. It was implanted en bloc to the left side retroperitoneally. During the early period, cellular and humoral rejection was confi rmed and treated. For a urine leak, double J catheters were implanted into both ureters. Later, the fi rst catheter was removed. Subsequently, urinary sepsis developed, necessitating graftectomy. The uncommon anatomy of ureters and antibody-mediated rejection (AMR) may both be factors for a ureter tip necrosis led to an infected urinoma. After other Hungarian authors, we also report a horseshoe kidney transplantation that was technically successful. However, after an adequately treated but severe acute humoral rejection, the patient developed sepsis, and the kidney had to be removed. We conclude that transplantation with horseshoe kidney is technically feasible but may increase the risk for urinary complications and resultant infections. Careful consideration of risk and benefi t is advised when a transplant professional is faced with this option.

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Section: Discussionmentioning

confidence: 93%

Horseshoe kidney transplantation

Nemes

Kanyári

Zádori

et al. 2015

IMAS

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“…23,24,25,26,27 The presence of horse shoe kidney is technically demanding during renal surgeries, renal transplants, or surgical and endovascular procedures on the aorta because of the anomalous complexity of the kidney, its collecting system, and renal blood vessels. 6,9,10 Hence its morphological structure and variations are important factors to be considered. The bulky isthmus located anterior to the abdominal aorta with the horse shoe kidney as in this case can cause considerable difficulty in medical and surgical management.…”

Section: Embryogenesismentioning

confidence: 99%

“…Moreover, the horseshoe kidney can be transplanted en bloc or after division of the renal isthmus. 9,10 This report has described the anatomical variations on the horse shoe kidney and discussed its anatomical and embryological significance.…”

Section: Introductionmentioning

confidence: 99%

Horseshoe kidney - a case report

Mandhane¹,

Ansari²,

Shaikh³

et al. 2015

Int J Res Med Sci

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“…Jeigu sąsmauka stora, siūloma kontrastiniais metodais įver-tinti šlapimo surenkamąją sistemą. Jeigu sąsmaukoje randama kolektorikos komponentų, rekomenduojama operaciją atlikti en bloc [8].…”

Section: Diskusijaunclassified

Sėkminga pasagos formos inksto transplantacija iš mirusio donoro

Nemuraitė¹,

Narutytė²,

Rimševičius³

et al. 2015

Medicinos Teorija Ir Praktika

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SantraukaReikšminiai žodžiai: pasagos formos inkstas, inksto transplantacija. Pasagos formos inkstas -įgimta inkstų anomalija, kai inkstai susijungę apatiniais (95 proc.) arba viršutiniais poliais. Pasagos formos inkstas pasitaiko 1 iš 600-800 žmonių. Tokie inkstai pasižymi sudėtingesne anatomija, todėl jų transplantacija yra techniškai sunkesnė, tačiau įmanoma. Straipsnyje aprašoma, mūsų žiniomis, pirmoji pasagos formos inksto transplantacija Lietuvoje. Inkstas persodintas iš 38 metų vyro, mirusio dėl smegenų edemos, dviem recipientams -28 metų moteriai bei 53 metų vyrui, sergantiems 5 stadijos lėtine inkstų liga. Po operacijos abiem pacientams išsivystė ūminis transplantato nepakankamumas, tačiau po gydymo būkles pavyko stabilizuoti. Nors abu pacientai patyrė pooperacinių komplikacijų, negalima teigti, kad jos sietinos su inkstų anatomija. Dėl anatominių ypatumų pasagos formos inkstų transplantavimas yra susijęs su didesne komplikacijų rizika, todėl svarbu atidžiai atrinkti persodinimui tinkamus transplantatus ir pasirinkti geriausią operacijos metodą. Svarbu atkreipti dėmesį į inkstų vaskuliarizaciją, šlapimo kolektorinę sistemą, inkstus jungiančios sąsmaukos storį ir sandarą. aBStract Key words: horseshoe kidney, kidney transplantation. Horseshoe kidney is congenital anomaly that results from abnormal fusion at the lower poles (95 %), or the upper poles. It is found in approximately 1 in 600-800 persons. Because horseshoe kidneys have complex anatomy, it makes transplantation more difficult technically, but not impossible. We report the transplantation of horseshoe kidney, which to the best of our knowledge, is the first such transplantation in Lithuania. The donor was 38-year-old man, who died of cerebral edema. The kidneys were transplanted to two recipients: 28-year-old woman and 53-year-old man who both suffered from 5'th stage chronic renal disease. After the surgery both patients experienced acute graft failure, but after the treatment the grafts started to function normally. Although both patients suffered from post-surgical complications, the anatomy of the kidneys should not be named as the cause. Because of its anatomical features horseshoe kidney is associated with higher complication risk. Before the utilization of such kidney it is important to consider such factors as renal vasclar anomalies, urological anatomy and degree of fusion. These factors help decide what surgery method should be performed.

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Transplanting Horseshoe Kidneys: A Worldwide Survey

Cited by 30 publications

References 11 publications

Horseshoe kidney transplantation

Horseshoe kidney transplantation

Horseshoe kidney - a case report

Sėkminga pasagos formos inksto transplantacija iš mirusio donoro

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