Successful renal autotransplantation for renal failure with prolonged oliguria in a Jehovah's Witness with fibromuscular dysplasia of the renal arteries.
A young female presented with hypertension and oliguric renal insufficiency caused by fibromuscular dysplasia of the renal arteries. There was a left kidney remnant and a normal-sized right kidney with a retrograde blood supply through capsular arteries. Reconstruction of the occluded right renal artery with autotransplantation of the kidney after 60 days of oliguric renal insufficiency was followed by complete functional repair. Erythropoietin treatment was a great help in the management of this patient who refused blood transfusions because she was a Jehovah's Witness.
Department of Internal Medicine, Rijnstate Hospital, Arnhem, Netherlands.
R
R
van Leusen
H E
HE
Deenik
F G
FG
Buskens
D000293:Adolescent; D002835:Christianity; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications / Q000601:surgery*; D006801:Humans; D016030:Kidney Transplantation; D009846:Oliguria / Q000209:etiology; D012078:Renal Artery Obstruction / Q000150:complications / Q000601:surgery*; D051437:Renal Insufficiency / Q000209:etiology / Q000601:surgery*