Torsion of extraperitoneally transplanted kidney: an unusual complication.
Torsion of the extraperitoneally transplanted kidney is rare complication with no clinical data in the literature. The authors present the case of a 44-year-old man with end-stage renal disease who received a kidney transplant from his father. On postoperative day 4, serum urea and creatinine levels increased and urine output decreased. Renal ultrasonography revealed the renal hilum to be rotated to the lateral pelvic border, causing mild pelvocaliectasis, and Doppler ultrasonography, the patients showed a poststenotic flow pattern. After the patient underwent urgent reoperation, all laboratory values and ultrasonography findings returned to normal. To the authors' knowledge, this is the first published case report of torsion of the extraperitoneally transplanted kidney. When posttransplant deterioration in renal function occurs, renal torsion should be considered in the differential diagnosis.
Department of Emergency Medicine Hacettepe University, Medical School, Department of Surgery, Ankara Numune Teaching and Research Hospital, Ankara, Turkey.
Mehmet Mahir
MM
Ozmen
Ismail
I
Bilgic
Ipek
I
Ziraman
Mahmut
M
Koc
D000328:Adult; D003937:Diagnosis, Differential; D006084:Graft Rejection / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D014102:Torsion Abnormality / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D018608:Ultrasonography, Doppler