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输卵管对腹腔内肾移植的绞窄

Strangulation of intraperitoneal kidney transplant by fallopian tube.

作者信息

Nawabi Atta, Nawabi Perwaiz, Mohammadian Babak, Jones Jill

机构信息

Department of Surgery, The University of Kansas, Kansas City, KS, USA.

Kansas City University, Kansas City, MO, USA.

出版信息

J Surg Case Rep. 2021 Oct 25;2021(10):rjab347. doi: 10.1093/jscr/rjab347. eCollection 2021 Oct.

Abstract

Renal allograft strangulation is a rare complication following simultaneous kidney pancreas transplant, often causing graft loss. This case report represents the first documented case of a 35-year-old female who developed renal graft strangulation around the left fallopian tube. Our case outlines a new complication that contributes to graft loss concerning iliac fossa anatomy and variations in female patients, as well as surgical considerations that need to be made prior to transplantation. We recommend measurement of the grafted renal vessels within the iliac fossa and respective surroundings structures to allow for the ideal positioning of the grafted organ.

摘要

肾移植受者发生肾移植绞窄是肾胰联合移植后一种罕见的并发症,常导致移植物丢失。本病例报告是首例有记录的35岁女性发生左输卵管周围肾移植绞窄的病例。我们的病例概述了一种新的并发症,该并发症与女性患者的髂窝解剖结构及变异有关,可导致移植物丢失,同时还介绍了移植前需要考虑的手术要点。我们建议测量髂窝内移植肾血管及周围相应结构,以便使移植器官获得理想的位置。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfe9/8557328/881d5e05c659/rjab347f1.jpg

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