Salvage of Renal Graft after Acute Torsion Following Simultaneous Kidney-Pancreas Transplantation

Daniel Maluf, E. Rodas, R. A. Fisher, A. H. Cotterell, A. L. King, M. P. Posner

Research output: Contribution to journalArticle

Abstract

Torsion of a renal allograft after simultaneous kidney-pancreas (SKP) transplantation is a rare complication. When it does occur, subsequent loss of the renal allograft is expected. Herein we present a 26-year-old Hispanic male who received a SKP transplant through a midline incision. He presented 8 months post-transplant with acute onset of abdominal pain, a palpable midline mass, diminished urine output, and serum creatinine elevated threefold over the baseline level. The patient was taken immediately to surgery where de-torsion and "nephro-pexy" to the lateral parietal peritoneal space took place. Dialysis was necessary for 1 month, after which renal function returned to baseline. A high index of suspicion, rapid diagnosis, and corrective surgery can be effective in renal allograft salvage in selected cases of torsion. When SKP is performed through midline incision, we recommend pexy of the kidney allograft to the lateral parietal peritoneal wall to avoid graft torsion.

Original languageEnglish (US)
Pages (from-to)774-775+787
JournalDialysis and Transplantation
Volume32
Issue number12
StatePublished - Dec 1 2003
Externally publishedYes

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Pancreas Transplantation
Kidney Transplantation
Transplants
Kidney
Allografts
Pancreas
Hispanic Americans
Abdominal Pain
Dialysis
Creatinine
Urine
Serum

All Science Journal Classification (ASJC) codes

  • Nephrology
  • Transplantation

Cite this

Maluf, D., Rodas, E., Fisher, R. A., Cotterell, A. H., King, A. L., & Posner, M. P. (2003). Salvage of Renal Graft after Acute Torsion Following Simultaneous Kidney-Pancreas Transplantation. Dialysis and Transplantation, 32(12), 774-775+787.

Salvage of Renal Graft after Acute Torsion Following Simultaneous Kidney-Pancreas Transplantation. / Maluf, Daniel; Rodas, E.; Fisher, R. A.; Cotterell, A. H.; King, A. L.; Posner, M. P.

In: Dialysis and Transplantation, Vol. 32, No. 12, 01.12.2003, p. 774-775+787.

Research output: Contribution to journalArticle

Maluf, D, Rodas, E, Fisher, RA, Cotterell, AH, King, AL & Posner, MP 2003, 'Salvage of Renal Graft after Acute Torsion Following Simultaneous Kidney-Pancreas Transplantation', Dialysis and Transplantation, vol. 32, no. 12, pp. 774-775+787.
Maluf D, Rodas E, Fisher RA, Cotterell AH, King AL, Posner MP. Salvage of Renal Graft after Acute Torsion Following Simultaneous Kidney-Pancreas Transplantation. Dialysis and Transplantation. 2003 Dec 1;32(12):774-775+787.
Maluf, Daniel ; Rodas, E. ; Fisher, R. A. ; Cotterell, A. H. ; King, A. L. ; Posner, M. P. / Salvage of Renal Graft after Acute Torsion Following Simultaneous Kidney-Pancreas Transplantation. In: Dialysis and Transplantation. 2003 ; Vol. 32, No. 12. pp. 774-775+787.
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