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Liječnički vjesnik, Vol. 141 No. 1-2, 2019.

Review article

https://doi.org/10.26800/LV-141-1-2-4

Kidney transplantation using split horseshoe kidney – a case report

Dean , Markić ; Klinika za urologiju Medicinskog fakulteta Sveučilišta u Rijeci, KBC Rijeka
Romano Oguić ; Klinika za urologiju Medicinskog fakulteta Sveučilišta u Rijeci, KBC Rijeka
Kristian Krpina ; Klinika za urologiju Medicinskog fakulteta Sveučilišta u Rijeci, KBC Rijeka
Antun Gršković ; Klinika za urologiju Medicinskog fakulteta Sveučilišta u Rijeci, KBC Rijeka
Dražen Rahelić ; Klinika za urologiju Medicinskog fakulteta Sveučilišta u Rijeci, KBC Rijeka
Nino Rubinić ; Klinika za urologiju Medicinskog fakulteta Sveučilišta u Rijeci, KBC Rijeka
Mauro Materljan ; Klinika za urologiju Medicinskog fakulteta Sveučilišta u Rijeci, KBC Rijeka
Ivan Vukelić ; Klinika za urologiju Medicinskog fakulteta Sveučilišta u Rijeci, KBC Rijeka
Sanjin Rački ; Zavod za nefrologiju, dijalizu i transplantaciju, Klinika za internu medicinu Medicinskog fakulteta Sveučilišta u Rijeci, KBC Rijeka
Josip Španjol ; Klinika za urologiju Medicinskog fakulteta Sveučilišta u Rijeci, KBC Rijeka

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Abstract

Horseshoe kidney is the most common fusion anomaly of the kidney. Donors with horseshoe kidneys are considered suboptimal because of concomitant vascular and urologic abnormalities. We present a young
cadaveric donor with a horseshoe kidney. After en-bloc explantation of the kidney, its vasculature and ureter were properly prepared and kidney was transected into two parts. Both moieties were successfully transplanted in two patients with endstage renal disease. Postoperative course was uneventful and both patients have normal kidney function 18 months after transplantation. Transplantation of horseshoe kidney is demanding due to complex anatomy but its results are equal when compared to standard transplant population. The transplant surgeon must be aware that horseshoe kidneys can safely be utilised.

Keywords

KIDNEY – abnormalities, kirurgija; KIDNEY TRANSPLANTATION – methods; KIDNEY FAILURE, CHRONIC – surgery; TISSUE DONORS; CADAVER; GRAFT SURVIVAL

Hrčak ID:

218764

URI

https://hrcak.srce.hr/218764

Publication date:

15.4.2019.

Article data in other languages: croatian

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