title: Renal transplantation in a child with thrombosed inferior vena cava.
abstract: The external iliac vein is commonly used in renal transplantation for vascular anastomosis of the allograft renal vein. However, there are rare instances when the transplant surgeon may encounter thrombosis of the ilio-caval vein during surgery, making renal transplantation a challenge. Often, these patients are considered unsuitable for renal transplantation. We report a case of thrombosis of the inferior vena cava in an asymptomatic pediatric patient in whom the splenic vein was used, at transplantation, for venous drainage. This case highlights that pre-operative Doppler screening should be performed in all potential renal transplant recipients.
authors.forename: Surjeet
authors.initials: S
authors.lastname: Kumar
authors.forename: Yashwant
authors.initials: Y
authors.lastname: Rathore
authors.affiliation: Department of Surgical Disciplines, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
authors.forename: Sandeep
authors.initials: S
authors.lastname: Guleria
authors.forename: Virinder Kumar
authors.initials: VK
authors.lastname: Bansal
mesh_terms: D000714:Anastomosis, Surgical; D058070:Asymptomatic Diseases; D002648:Child; D006801:Humans; D007084:Iliac Vein; D033162:Incidental Findings; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000601:surgery; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D009404:Nephrotic Syndrome / Q000150:complications*; D013162:Splenic Vein / Q000601:surgery; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000175:diagnosis / Q000209:etiology*