Open AccessFeasibility of renal transplantation after unroofing of a large renal cyst in an expanded criteria donor
Author(s) -
Prashanth Kanagarajah,
Obi Ekwenna,
Rajinikanth Ayyathurai,
George W Burk,
Gaetano Ciancio
Publication year - 2013
Publication title -
urology annals (print)
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 20
eISSN - 0974-7834
pISSN - 0974-7796
DOI - 10.4103/0974-7796.115755
Subject(s) - medicine , renal hilum , hilum (anatomy) , cyst , transplantation , surgery , kidney , kidney transplantation , frozen section procedure , creatinine , nephrectomy
We present a case in which a deceased donor kidney with a large simple cyst was successfully unroofed and transplanted to a 61-year-old male. The donor was a 62-year-old male with a history of hypertension for 2 years; cerebral vascular accident was the cause of death. A large 8-cm cyst distorting the renal hilum was identified upon the procurement of the deceased donor kidney. Prior to transplantation, the large cyst was unroofed from the allograft; the frozen section confirmed a benign cyst and the transplant was performed. Postoperatively, the serum creatinine level was 1.4 mg/ml at 22-month follow-up and the patient was normotensive. Deceased donor kidneys with giant cysts distorting the renal hilum can be effectively transplanted.