[Torsion of the renal pedicle after kidney luxation after simultaneous double kidney and pancreas transplantation].

Abstract

Torsion of a renal transplant around its pedicle is a rare complication, which has been described in renal transplant children with Prune Belly syndrome, but also exceptionally in adults undergoing kidney-pancreas transplantation. One of the diagnostic difficulties is due to the lack of specificity of the clinical features in some cases, which may lead to delayed diagnosis and loss of the kidney due to renal pedicle thrombosis. The authors report a case of a 31-year-old woman undergoing simultaneously kidney-pancreas transplantation, who developed torsion of the renal pedicle following intraperitoneal rotation of the renal transplant several months after transplantation. They discuss the diagnosis and prevention of this exceptional complication.

• Authors: Lionel Badet, Palmina Petruzzo, Nicole Lefrancois, Marc Colombel, Hakim Fassi-Fehri, Xavier Martin
• Journal: Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie (Prog Urol) Vol. 13 Issue 4 Pg. 675-8 (Sep 2003) ISSN: 1166-7087 [Print] France
• Vernacular Title: Torsion du pédicule rénal après luxation du rein dans les suites d'une double transplantation simultanée de rein et de pancréas.
• PMID: 14650304 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adult
• Female
• Humans
• Kidney Diseases (etiology)
• Kidney Transplantation (adverse effects)
• Pancreas Transplantation (adverse effects)
• Torsion Abnormality (etiology)