title: Specificities of transplantation of kidneys procured from donors with situs inversus totalis--a case report and review of the literature.
abstract: BACKGROUND
  Situs inversus totalis (SIT) represents a total vertical transposition of the thoracic and abdominal organs which are arranged in a mirror image reversal of the normal positioning. We presented a successful pre-dialysis kidney transplantation from a living sibling donor with SIT and the longest donor follow-up period, along with analysis of the reviewed literature.
  
  
  METHODS
  The pair for pre-dialysis kidney transplantation included a 68-year-old mother and 34-year-old daughter at low immunological risk. Comorbid- ities evidenced in kidney donors with previously diagnosed SIT, included moderate arterial hypertension and borderline blood glucose level. Explantation of the left donor kidney and its placement into the right iliac fossa of the recipient were performed in the course of the surgical procedure. A month after nephrectomy, second degree renal failure was noticed in the donor. A 20-month follow-up of the donor's kidney and graft in the recipient proved that their functions were excellent.
  
  
  CONCLUSIONS
  In donors with previously di- agnosed SIT the multidisciplinary approach, preoperative evaluation of the patient and detection of possible vascular anomalies are required to provide maximum safety for the donor.
authors.forename: Milica
authors.initials: M
authors.lastname: Petrović
authors.forename: Violeta
authors.initials: V
authors.lastname: Rabrenović
authors.forename: Dušica
authors.initials: D
authors.lastname: Stamenković
authors.forename: Neven
authors.initials: N
authors.lastname: Vavić
authors.forename: Zoran
authors.initials: Z
authors.lastname: Kovačević
authors.forename: Ljiljana
authors.initials: L
authors.lastname: Ignjatović
authors.forename: Dragan
authors.initials: D
authors.lastname: Jovanović
authors.forename: Svetlana
authors.initials: S
authors.lastname: Antić
authors.forename: Novak
authors.initials: N
authors.lastname: Milović
authors.forename: Aleksandar
authors.initials: A
authors.lastname: Tomić
authors.forename: Vladimir
authors.initials: V
authors.lastname: Bančević
mesh_terms: D000328:Adult; D000368:Aged; D015897:Comorbidity; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D019520:Living Donors; D009392:Nephrectomy; D012857:Situs Inversus / Q000175:diagnosis*