Successful transplantation of a split crossed fused ectopic kidney into a patient with end-stage renal disease.
Potential donors with congenital renal anomalies but normal renal function are often overlooked because of a possible increase in technical difficulty and complications associated with the surgery. However, as the waiting list for a deceased donor kidney transplant continues to grow, it is important to consider these kidneys for potential transplant. This paper describes the procurement of a crossed fused ectopic kidney, and subsequent parenchymal transection prior to transplantation as part of a combined simultaneous kidney pancreas transplant. The transplant was uncomplicated, and the graft had immediate function. The patient is now two years from transplant with excellent function.
Mekeel
Kristin L
KL
Division of Transplant, Hepatobiliary and Pancreatic Surgery, Mayo Clinic, Phoenix, AZ 85054, USA.
Daley
Shane M
SM
Andrews
Paul E
PE
Moss
Adyr A
AA
Heilman
R L
RL
Mazur
Marek J
MJ
Chakkera
Harini A
HA
Hamawi
Khalid
K
Mulligan
David C
DC
Sudhakar Reddy
K
K