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Deceased Donor Renal Transplantation Combined with Bilateral Nephrectomy in a Patient with Tuberous Sclerosis and Renal Failure
المؤلفون المشاركون
Novotný, Robert
Janousek, Libor
Fronek, Jiri
Chlupac, J.
Marada, T.
Bloudickova-Rajnochova, S.
Vavrinova, H.
المصدر
Case Reports in Transplantation
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-03-06
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Introduction.
A 27-year-old female patient with known tuberous sclerosis complex (TSC), polycystic kidneys with multiple large bilateral angiomyolipomas, and failing renal functions with prehemodialysis values (urea: 19 mmol/L; creatinine: 317 μmol/L; CKD-EPI 0,27) was admitted to our department for pre-renal transplant evaluation.
The patient was placed on the transplant waiting list as the living donor did not pass pretransplant workup and was subsequently contraindicated.
Patient was placed on the “cadaverous kidney transplant waiting list”.
Method.
Computed tomography angiography revealed symptomatic PSA in the right kidney angiomyolipoma (AML).
The patient underwent urgent transarterial embolisation of the PSA’s feeding vessel in the right kidney AML.
Based on the “kidney transplant waiting list” order patient underwent a bilateral nephrectomy combined with transperitoneal renal allotransplantation of a cadaverous kidney graft through midline laparotomy, appendectomy, and cholecystectomy.
Results.
Postoperative period was complicated by delayed graft function caused by acute tubular necrosis requiring postoperative hemodialysis.
The patient was discharged on the 17th postoperative day with a good renal graft function.
Patient’s follow-up is currently 23 months with good graft function (urea: 9 mmol/L; creatinine: 100 μmol/L).
Conclusion.
Renal transplantation combined with radical nephrectomy provides a definitive treatment for TSC renal manifestations.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Novotný, Robert& Chlupac, J.& Marada, T.& Bloudickova-Rajnochova, S.& Vavrinova, H.& Janousek, Libor…[et al.]. 2019. Deceased Donor Renal Transplantation Combined with Bilateral Nephrectomy in a Patient with Tuberous Sclerosis and Renal Failure. Case Reports in Transplantation،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1145215
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Novotný, Robert…[et al.]. Deceased Donor Renal Transplantation Combined with Bilateral Nephrectomy in a Patient with Tuberous Sclerosis and Renal Failure. Case Reports in Transplantation No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1145215
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Novotný, Robert& Chlupac, J.& Marada, T.& Bloudickova-Rajnochova, S.& Vavrinova, H.& Janousek, Libor…[et al.]. Deceased Donor Renal Transplantation Combined with Bilateral Nephrectomy in a Patient with Tuberous Sclerosis and Renal Failure. Case Reports in Transplantation. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1145215
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1145215
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