Foster J T, Morrissey P E
Division of Organ Transplantation, Department of Surgery, Alpert Medical School of Brown University, 593 Eddy Street, APC 921, Providence, RI 02903, USA.
Case Rep Transplant. 2013;2013:852127. doi: 10.1155/2013/852127. Epub 2013 Feb 17.
Introduction. Horseshoe kidney is a congenital anomaly that presents unique challenges for the transplant surgeon. The mere presence of horseshoe kidney should not preclude consideration for transplantation. Case Report. A 33-year-old women suffering from end-stage renal disease underwent deceased donor renal transplant with a divided horseshoe kidney. We present a postoperative complication and the technical strategy for transplant salvage. The patient currently has excellent graft function. Discussion. Horseshoe kidneys do present challenges for successful transplantation. Though case reports of successful transplantation are increasing, we present a technical complication and successful transplant salvage strategy. Technical descriptions in the literature of successful back-table preparation strategies should help more transplant surgeons to begin to utilize this resource. Conclusion. This study concludes that horseshoe kidneys can be successfully used for transplantation and provides a technical strategy to salvage the transplant after a unique complication associated with these donor kidneys.
引言。马蹄肾是一种先天性异常，给移植外科医生带来了独特的挑战。单纯马蹄肾的存在不应排除移植的考虑。病例报告。一名33岁终末期肾病女性接受了带分隔马蹄肾的尸体供肾肾移植。我们介绍了一种术后并发症及移植挽救的技术策略。该患者目前移植肾功能良好。讨论。马蹄肾确实给成功移植带来挑战。尽管成功移植的病例报告在增加，但我们介绍了一种技术并发症及成功的移植挽救策略。文献中关于成功的后台准备策略的技术描述应有助于更多移植外科医生开始利用这一资源。结论。本研究得出结论，马蹄肾可成功用于移植，并提供了一种技术策略，以挽救与这些供肾相关的独特并发症后的移植。
