Feasibility of renal transplantation after unroofing of a large renal cyst in an expanded criteria donor.
We present a case in which a deceased donor kidney with a large simple cyst was successfully unroofed and transplanted to a 61-year-old male. The donor was a 62-year-old male with a history of hypertension for 2 years; cerebral vascular accident was the cause of death. A large 8-cm cyst distorting the renal hilum was identified upon the procurement of the deceased donor kidney. Prior to transplantation, the large cyst was unroofed from the allograft; the frozen section confirmed a benign cyst and the transplant was performed. Postoperatively, the serum creatinine level was 1.4 mg/ml at 22-month follow-up and the patient was normotensive. Deceased donor kidneys with giant cysts distorting the renal hilum can be effectively transplanted.
Bladder Health and Reconstructive Urology Institute, Miramar, Fl, USA.
Prashanth
P
Kanagarajah
Obi
O
Ekwenna
Rajinikanth
R
Ayyathurai
George W
GW
Burk
Gaetano
G
Ciancio
Expanded criteria donor; hemodialysis; kidney transplant; unroofing renal cyst