Laparoscopic Fixation for Torsion of Transplanted Kidney: A Case Report

R. Pery, E. Shaharabani, B. Gazer, M. Gutman, D. Rosin

Research output: Contribution to journalArticlepeer-review

Abstract

Background Kidney graft torsion and subsequent acute kidney injury is a rare yet potentially devastating complication of intraperitoneal kidney transplant. We report a case of this elusive diagnosis and describe kidney salvage by using laparoscopic fixation. Case Report A 49-year-old male patient presented with multiple episodes of anuric acute kidney injury 16 months after an uneventful combined orthotopic liver and kidney transplantation. After a thorough investigation, a diagnosis of kidney torsion was made, and the patient was urgently operated. Upon surgery, a complete torsion of a viable kidney was found. Laparoscopic fixation was achieved by using an absorbable mesh “pocket.” The patient has experienced no similar episodes in the subsequent year. Conclusions Nephrologists and surgeons should be aware of this rare complication. Prompt diagnosis and operative repair are crucial to save the graft. Prophylactic nephropexy should be considered in all intraperitoneal transplantations.

Original languageEnglish
Pages (from-to)2378-2380
Number of pages3
JournalTransplantation Proceedings
Volume49
Issue number10
DOIs
StatePublished - Dec 2017

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