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001-es BibID:BIBFORM064231
Első szerző:Nemes Balázs Áron (sebész)
Cím:Horseshoe kidney transplantation / Balázs Nemes, Zsolt Kanyári, Gergely Zádori, Lajos Zsom, Mariann Berhés, Mátyás Hamar, Krisztina Kóbor, Antal Péter
Megjegyzések:Abstract: Horseshoe kidney is a fusion anomaly found in approximately one in 400?600 people. Due to vascular and ureteral variations,transplantation with a horseshoe kidney presents a technical challenge. In our case, the isthmus connected the upper poles and containedparenchyma. It consisted of three renal arteries, fi ve veins collected to the inferior vena cava, and two ureters and pyelons. It was implanteden bloc to the left side retroperitoneally. During the early period, cellular and humoral rejection was confi rmed and treated. For a urine leak,double J catheters were implanted into both ureters. Later, the fi rst catheter was removed. Subsequently, urinary sepsis developed, necessitatinggraftectomy. The uncommon anatomy of ureters and antibody-mediated rejection (AMR) may both be factors for a ureter tip necrosis led to aninfected urinoma. After other Hungarian authors, we also report a horseshoe kidney transplantation that was technically successful. However,after an adequately treated but severe acute humoral rejection, the patient developed sepsis, and the kidney had to be removed. We conclude thattransplantation with horseshoe kidney is technically feasible but may increase the risk for urinary complications and resultant infections. Carefulconsideration of risk and benefi t is advised when a transplant professional is faced with this option.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény hazai lapban
horseshoe kidney
kidney transplant
duplicated ureter
antibody-mediated rejection
urinary leakage
Megjelenés:Interventional Medicine & Applied Science 7 : 2 (2015), p. 85-89. -
További szerzők:Kanyári Zsolt (1964-) (orvos) Zádori Gergely (1983-) (sebész) Zsom Lajos (1968-) (belgyógyász, nefrológus) Berhés Mariann Hamar Mátyás Kóbor Krisztina Péter Antal
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