A successful live donor kidney transplantation after large angiomyolipoma excision

被引：5

作者：

Abboudi, H. ^{[1
]}

Chandak, P. ^{[1
]}

Kessaris, N. ^{[1
]}

Fronek, J. ^{[1
,2
]}

机构：

[1] St George Hosp, Renal Transplant Unit, Black Shaw Rd, London SW7 0QT, England

[2] Charles Univ Prague, Med Fac 2, Inst Clin & Expt Med, Transplant Surg Dept, Prague, Czech Republic

来源：

INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS | 2012年 / 3卷 / 12期

关键词：

Kidney; Tumour; Live donor transplantation; Angiomyolipoma;

D O I：

10.1016/j.ijscr.2012.07.016

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

INTRODUCTION: Angiomyolipoma is the most common benign neoplasm of the kidney. Successful transplantation of an AML affected kidney has been reported. However it is still often seen as a contraindication to transplantation. PRESENTATION OF CASE: A 47-year-old female underwent assessment for a direct specified kidney donation to her husband who had end stage renal failure, due to adult polycystic kidney disease. Routine pre-operative CT angiography demonstrated a large 6 cm x4 cm AML arising from the upper pole of the right kidney. Right-side hand assisted retro-peritoneoscopic live donor nephrectomy with bench tumour excision was subsequently performed. Recipient implantation was unremarkable with no haemorrhage. DISCUSSION: Histology confirmed a 7 cm AML. At 36 months follow up, the recipient's serum creatinine was 158 mu mol/l and eGFR 40 ml/min without the need for dialysis at any stage. CONCLUSION: AML should not be a contraindication for specified live kidney donation, despite a size of 7 cm. (C) 2012 Surgical Associates Ltd. Published by Elsevier Ltd. Open access under CC BY-NC-ND license.

引用

页码：594 / 596

页数：3

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