Specificities of transplantation of kidneys procured from donors with situs inversus totalis: A case report and review of the literature
Introduction. 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 1. We presented a successful pre-dialysis kidney transplantation from a living sibling donor with...
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| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2015-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501400036P.pdf |
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| Summary: | Introduction. 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 1. 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. Case report. The pair for pre-dialysis kidney transplantation
included a 68-year-old mother and 34-year-old daughter at low immunological
risk. Comorbidities 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. Conclusion. In donors
with previously diagnosed SIT the multidisciplinary approach, preoperative
evaluation of the patient and detection of possible vascular anomalies are
required to provide maximum safety for the donor. |
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| ISSN: | 0042-8450 |