title: [Torsion of the renal pedicle after kidney luxation after simultaneous double kidney and pancreas transplantation].
abstract: Torsion of a renal transplant around its pedicle is a rare complication, which has been described in renal transplant children with Prune Belly syndrome, but also exceptionally in adults undergoing kidney-pancreas transplantation. One of the diagnostic difficulties is due to the lack of specificity of the clinical features in some cases, which may lead to delayed diagnosis and loss of the kidney due to renal pedicle thrombosis. The authors report a case of a 31-year-old woman undergoing simultaneously kidney-pancreas transplantation, who developed torsion of the renal pedicle following intraperitoneal rotation of the renal transplant several months after transplantation. They discuss the diagnosis and prevention of this exceptional complication.
authors.affiliation: Service d'Urologie et Chirurgie de la Transplantation, Hôpital Edouard Herriot, Place d'Arsonval, 69437 Lyon. lionel.badet@chu-lyon.fr
authors.forename: Lionel
authors.initials: L
authors.lastname: Badet
authors.forename: Palmina
authors.initials: P
authors.lastname: Petruzzo
authors.forename: Nicole
authors.initials: N
authors.lastname: Lefrancois
authors.forename: Marc
authors.initials: M
authors.lastname: Colombel
authors.forename: Hakim
authors.initials: H
authors.lastname: Fassi-Fehri
authors.forename: Xavier
authors.initials: X
authors.lastname: Martin
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000209:etiology*; D016030:Kidney Transplantation / Q000009:adverse effects*; D016035:Pancreas Transplantation / Q000009:adverse effects*; D014102:Torsion Abnormality / Q000209:etiology