[Deceased Donor Kidney Transplantation from a Liver Transplantation Recipient].

Abstract

We report a 40-year-old man with end-stage renal disease due to IgA nephropathy who underwent deceased donor kidney transplantation. The donor was diagnosed to be brain-dead due to cerebral hemorrhage after her second liver transplantation for non-viral liver cirrhosis. Intraoperative 1-hour biopsy of the graft kidney revealed moderate global glomerular sclerosis (22%) and interstitial fibrosis (40%) consistent with underlying nephrosclerosis or calcineurin inhibitor nephrotoxicity. Although hemodialysis was needed until the graft began functioning several days after the kidney transplantation, the postoperative clinical course thereafter was uneventful and the graft functioned well with stable serum creatinine levels around 2.4 mg/dl at 6 monthspos toperatively.

• Authors: Shuhei Koike, Takashi Kobayashi, Yoshiyuki Okada, Shinsuke Shibuya, Kaoru Sakai, Yukari Tanaka, Shusuke Akamatsu, Hiromitsu Negoro, Naoki Terada, Toshinari Yamasaki, Yoshiyuki Matsui, Takahiro Inoue, Tomomi Kamba, Yumi Umeya, Toshimi Kaido, Osamu Ogawa
• Journal: Hinyokika kiyo. Acta urologica Japonica (Hinyokika Kiyo) Vol. 62 Issue 10 Pg. 529-534 (Oct 2016) ISSN: 0018-1994 [Print] Japan
• PMID: 27919127 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Female
• Glomerulonephritis, IGA (complications)
• Humans
• Kidney Failure, Chronic (etiology, surgery)
• Kidney Transplantation
• Liver Cirrhosis (surgery)
• Liver Transplantation
• Male
• Tissue Donors
• Treatment Outcome