Abstract
We report a unique case of a male recipient who received a zero mismatch kidney with mild anatomical anomalies from his sister. This right kidney was malrotated, had an extra renal pelvis with moderately dilated ureter up to the iliac artery bifurcation. Immediate graft function was achieved on reperfusion, and the recipient was discharged on day 7 with a serum creatinine (SC) of 1.8mg/dl. The DJ stent was removed after 6 weeks, with a rapid increase in SC to 3.5mg/dl, and ultrasound showed mild hydronephrosis with delayed excretion on nuclear imaging. Mechanical obstruction was excluded by retrograde pyelography, and a 5F DJ stent was placed across the ureterovesical anastomosis with an immediate decrease in SC. The case is presented in detail and discussed in the light of the current literature.
Highlights
Organ shortage is universal problem and more than 124, 000 patients are wait-listed for organs in the United States, and this number increases annually despite patients who die or become unfit for transplantation [1]
We report a unique case of a male recipient who received a zero mismatch kidney with mild anatomical anomalies from his sister
Immediate graft function was achieved on reperfusion, and the recipient was discharged on day 7 with a serum creatinine (SC) of 1.8mg/dl
Summary
Organ shortage is universal problem and more than 124, 000 patients are wait-listed for organs in the United States, and this number increases annually despite patients who die or become unfit for transplantation [1]. We report a unique case of a male recipient who received a zero mismatch anomalous kidney from his sister This right kidney was malrotated, had mild hydronephrosis, an extrarenal pelvis, and a moderate hydroureter up to the iliac artery bifurcation. Computerized Tomography scanning showed a malrotated right kidney, an extra renal pelvis with moderately dilated ureter up to the iliac artery bifurcation, and was suggestive of a radiolucent calculus (Figure 1). Isotope uptake by this kidney was 46% on nuclear scanning without any evidence of outflow obstruction (Figure 2). A year later despite aggressive antibiotic therapy, ventilator and inotropic support, the patient succumbed to a fulminant pneumonia with a functioning graft, without any evidence of urinary sepsis
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