title: Injury to a transplanted kidney during caesarean section: a case report.
abstract: As fertility is restored after renal transplant, more female recipients of a renal transplant successfully complete pregnancies that are safe for the mother, the fetus, and the renal allograft. Although the transplanted kidney lies in one of the iliac fossae, normal vaginal delivery is not impeded by this positioning. Caesarean section is indicated in many scenarios, primarily for obstetric reasons, particularly when the transplanted kidney lies in a position where it could be injured. Here, we report our experiences managing a rare instance of injury to a transplanted kidney during caesarean section and discuss the relevant aspects of its management. To our knowledge, this is the first report in the English literature of an injury to a transplanted kidney during caesarean section.
authors.affiliation: Division of Renal Transplantation, Sheffield Kidney Institute, Northern General Hospital, Herries Road, Sheffield, UK. shresthabm@doctors.net.uk
authors.forename: Badri Man
authors.initials: BM
authors.lastname: Shrestha
authors.forename: David
authors.initials: D
authors.lastname: Throssell
authors.forename: William
authors.initials: W
authors.lastname: McKane
authors.forename: Andrew Thomas
authors.initials: AT
authors.lastname: Raftery
mesh_terms: D000328:Adult; D001803:Blood Transfusion; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy; D006489:Hemostatic Techniques; D006801:Humans; D007431:Intraoperative Complications; D007668:Kidney / Q000098:blood supply / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D016030:Kidney Transplantation; D010537:Peritoneum / Q000601:surgery; D011184:Postoperative Period; D011247:Pregnancy; D011859:Radiography; D011866:Radioisotope Renography; D013537:Sutures; D014656:Vascular Surgical Procedures; D014950:Wounds, Penetrating / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy