Successful Use of Ectopic Pelvic Kidney for Living Related Donation Technical Aspects and Literature Review

Abstract

Ectopic pelvic kidneys can provide an additional source of organs for transplantation. They are often excluded from donation in living donation programs mainly due to aberrant vascular and urinary anatomies. We present a donor with an ectopic left kidney, who successfully donated his kidney. The use of ectopic pelvic kidney for living kidney transplantation is a highly demanding surgical procedure but after extensive preoperative investigation in high volume centers with surgical expertise in vascular reconstruction and access surgery, ectopic pelvic kidneys should not be a contraindication for donation and should be considered as a viable option.

Ectopic Pelvic Kidney with Anomalous Vascular Supply during Deceased Organ Procurement – Case Report

“…Ectopic kidneys have been rarely described in the transplant literature. While there a few case reports of using ectopic kidneys for living kidney donation [4][5][6][7], there is just one report for using a deceased donor ectopic kidney [1]. This is important because the vascular and pelviureteral anatomy can be much clearly defined preoperatively with the help of quality imaging in case of living donation.…”

Blunt trauma of unilateral intraperitoneal kidney: A case report

“…In such cases, bleeding from the injury may advance to hemoperitoneum, and unstable hemodynamics may develop, requiring emergency surgery. Although anatomical variants, such as vascular variations of renal vessels [ 1 , 2 ], ectopic pelvic kidney [ 3 ], and intrathoracic kidney [ 4 , 5 ] have been reported, to our knowledge, an intraperitoneal kidney has never been previously reported except for one case [ 6 ] in the world literature. Herein, we report a successful nephrectomy of a unilateral intraperitoneal kidney with grade IV laceration based on the renal injury scale of the American Association for the Surgery of Trauma (AAST) after blunt trauma.…”