Soderdahl Douglas W, Rabah Danny, McCune Thomas, Colonna John, French Roland, Robey Edwin, Fabrizio Michael D
Department of Urology, Eastern Virginia Medical School, Norfolk, Virginia 23510, USA.
Urology. 2004 Sep;64(3):590. doi: 10.1016/j.urology.2004.04.075.
Many ethical considerations surround living kidney donation, some of which are not anticipated. We present a case in which misattributed paternity was inadvertently discovered during the workup of a father and son and present arguments for and against disclosure of this information. We recommend that transplant programs advise patients participating in living organ donor programs that misattributed paternity might be discovered during routine preoperative testing and that protocols for dealing with complex ethical issues be in place.
围绕活体肾捐赠存在许多伦理考量,其中一些是未曾预料到的。我们呈现一个案例,在对一对父子进行检查的过程中意外发现了父子关系误判的情况,并针对是否披露这一信息提出了支持和反对的观点。我们建议移植项目告知参与活体器官捐赠项目的患者,在常规术前检查中可能会发现父子关系误判的情况,并且要有处理复杂伦理问题的方案。