Successful en bloc transplantation of a horseshoe kidney without division of the isthmus : first case reported in South Africa
Date
2018
Journal Title
Journal ISSN
Volume Title
Publisher
Health and Medical Publishing Group
Abstract
This case is the first report of an en bloc transplantation of a horseshoe kidney in South Africa. The graft anatomy included
complete fusion of the lower poles of the two kidney units with a single artery and vein associated with each unit. The thick
isthmus of the graft kidney was supplied by a single, large caliber anomalous artery. Bench work (total duration 160 minutes)
included the preparation of a short segment of donor aorta and IVC (containing the renal vessels) which were anastomosed
to the recipient common iliac artery and common iliac vein respectively. The artery of the isthmus was anastomosed to
the recipient right internal iliac artery. The graft was placed intraperitoneally. Cold ischaemia time was 15 hours, warm
ischaemia time 144 minutes, total procedure time 450 minutes and estimated blood loss 1100 ml. Renogram (99mTc MAG-3)
on days 1, 3 and 14 postoperatively revealed ATN. Hospital stay was 17 days and nadir creatinine at 6 weeks was 77 μmol/l.
Description
CITATION: Zarrabi, A. D., et al. 2018. Successful en bloc transplantation of a horseshoe kidney without division of the isthmus : first case reported in South Africa. South African Journal of Surgery, 56(1):43-45, doi:10.17159/2078-5151/2017/v56n1a2174.
The original publication is available at http://www.scielo.org.za
The original publication is available at http://www.scielo.org.za
Keywords
Kidneys -- Transplantation -- South Africa, Kidneys -- Abnormalities -- Surgery, Horseshoe kidneys -- Surgery
Citation
Zarrabi, A. D., et al. 2018. Successful en bloc transplantation of a horseshoe kidney without division of the isthmus : first case reported in South Africa. South African Journal of Surgery, 56(1):43-45, doi:10.17159/2078-5151/2017/v56n1a2174