Ochi Atsuhiko, Unagami Kohei, Akanuma Takafumi, Inoue Takahiro, Okada Daigo, Fan Bo, Suzuki Tomo, Abe Hirokazu, Okumi Masayoshi, Ishida Hideki, Tanabe Kazunari
Department of Urology Kameda Medical Center Chiba Japan.
Department of Urology Tokyo Women's Medical University Tokyo Japan.
IJU Case Rep. 2019 Feb 22;2(2):105-108. doi: 10.1002/iju5.12054. eCollection 2019 Mar.
Only few cases of renal dysfunction in patients with situs inversus totalis have been reported. Thus, studies on kidney transplantation in patients with this condition are still limited.
We present three cases of end-stage renal disease patients with situs inversus totalis: a 30-year-old man, 21-year-old woman, and 31-year-old man. Each left living-donor kidney was transplanted in the right iliac fossa in the usual way. Because of the anatomical reversal and right external iliac vein being deep, the internal iliac vein was cut for venous anastomosis in one patient. Another one patient developed temporary congestive kidney, which was speculated to be due to poor blood flow in the renal vein. All recipients could be weaned off dialysis, with stable allograft function.
Kidney transplantation in patients with situs inversus totalis is the same as anatomical normal cases, except that attention is paid to venous anastomosis.
全内脏转位患者出现肾功能障碍的病例报道较少。因此，针对这种情况下患者进行肾移植的研究仍然有限。
我们报告了三例全内脏转位的终末期肾病患者：一名30岁男性、一名21岁女性和一名31岁男性。每个供体的左肾均以常规方式移植至右髂窝。由于解剖结构反转且右髂外静脉较深，其中一名患者在进行静脉吻合时切断了髂内静脉。另一名患者出现了暂时性充血性肾，推测是由于肾静脉血流不佳所致。所有受者均成功脱离透析，移植肾功能稳定。
全内脏转位患者的肾移植与解剖结构正常的病例相同，只是在静脉吻合时需多加注意。
