Arroyo-López R, Santos-Uscanga JP, Colorado-García A, Camacho-Trejo VF, Castillo-Chavira G, Aragón-Tovar AR

Language: Spanish
References: 7
Page: 303-306
PDF size: 162.94 Kb.

ABSTRACT

Several strategies have been used to broaden very early age organ donor criteria. With the increase in early age donors, in bloc kidney transplant is a possible alternative when using very young deceased donors for kidney transplant. A clinical case of in bloc kidney transplant is presented. A fourteen-year-old male adolescent received an in bloc kidney transplant from a 4-year-old male child deceased donor who died due to head and brain trauma. On the fourth postoperative day the patient presented with respiratory difficulty and a decrease in urinary volume. New surgical examination revealed a thrombus in the right renal vein and necrosis of the right ureter graft. A nephrectomy of the right kidney graft and new ureteral reimplantation of the left graft was performed. Progression was satisfactory with a creatinine level of 1.1 and a urinary volume of 2,200 ml per day.
Conclusions: Kidney graft thrombosis in the early postoperative period is one of the challenges of pediatric in bloc kidney transplant, but once the kidney graft survives the early postoperative period it has better longterm function than transplanted kidneys from a living donor. In order to reduce the transplant waiting list, pediatric in bloc kidneys should be used more often when they are available.

REFERENCES

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