Specificities of transplantation of kidneys procured from donors with situs inversus totalis: A case report and review of the literature

Introduction. Situs inversus totalis (SIT) represents a total vertical transposition of the thoracic and abdominal organs which are arranged in a mirror image reversal of the normal positioning 1. We presented a successful pre-dialysis kidney transplantation from a living sibling donor with...

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Main Authors: Petrović Milica, Rabrenović Violeta, Stamenković Dušica, Vavić Neven, Kovačević Zoran, Ignjatović Ljiljana, Jovanović Dragan, Antić Svetlana, Milović Novak, Tomić Aleksandar, Bančević Vladimir
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2015-01-01
Series:Vojnosanitetski Pregled
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Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501400036P.pdf
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author Petrović Milica
Rabrenović Violeta
Stamenković Dušica
Vavić Neven
Kovačević Zoran
Ignjatović Ljiljana
Jovanović Dragan
Antić Svetlana
Milović Novak
Tomić Aleksandar
Bančević Vladimir
author_facet Petrović Milica
Rabrenović Violeta
Stamenković Dušica
Vavić Neven
Kovačević Zoran
Ignjatović Ljiljana
Jovanović Dragan
Antić Svetlana
Milović Novak
Tomić Aleksandar
Bančević Vladimir
author_sort Petrović Milica
collection DOAJ
description Introduction. Situs inversus totalis (SIT) represents a total vertical transposition of the thoracic and abdominal organs which are arranged in a mirror image reversal of the normal positioning 1. We presented a successful pre-dialysis kidney transplantation from a living sibling donor with SIT and the longest donor follow-up period, along with analysis of the reviewed literature. Case report. The pair for pre-dialysis kidney transplantation included a 68-year-old mother and 34-year-old daughter at low immunological risk. Comorbidities evidenced in kidney donors with previously diagnosed SIT, included moderate arterial hypertension and borderline blood glucose level. Explantation of the left donor kidney and its placement into the right iliac fossa of the recipient were performed in the course of the surgical procedure. A month after nephrectomy, second degree renal failure was noticed in the donor. A 20-month follow-up of the donor’s kidney and graft in the recipient proved that their functions were excellent. Conclusion. In donors with previously diagnosed SIT the multidisciplinary approach, preoperative evaluation of the patient and detection of possible vascular anomalies are required to provide maximum safety for the donor.
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record_format Article
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spelling doaj-art-0fb3280306b74bf5b1bd64de5934d2e42025-08-20T03:54:20ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502015-01-01721636710.2298/VSP131010036P0042-84501400036PSpecificities of transplantation of kidneys procured from donors with situs inversus totalis: A case report and review of the literaturePetrović Milica0Rabrenović Violeta1Stamenković Dušica2Vavić Neven3Kovačević Zoran4Ignjatović Ljiljana5Jovanović Dragan6Antić Svetlana7Milović Novak8Tomić Aleksandar9Bančević Vladimir10Military Medical Academy, Clinic of Nephrology, BelgradeMilitary Medical Academy, Clinic of Nephrology, Belgrade + University of Defence, Faculty of Medicine of the Military Medical Academy, BelgradeMilitary Medical Academy, Clinic of Anaesthesia and Intensive Care, BelgradeMilitary Medical Academy, Clinic of Nephrology, BelgradeMilitary Medical Academy, Clinic of Nephrology, Belgrade + University of Defence, Faculty of Medicine of the Military Medical Academy, BelgradeMilitary Medical Academy, Clinic of Nephrology, BelgradeMilitary Medical Academy, Clinic of Nephrology, Belgrade + University of Defence, Faculty of Medicine of the Military Medical Academy, BelgradeMilitary Medical Academy, Clinic of Nephrology, BelgradeUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade + Military Medical Academy, Clinic of Urology, BelgradeUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade + Military Medical Academy, Clinic of Vascular and Endovascular Surgery, BelgradeFaculty of Medicine of the Military Medical Academy, University of Defence, Belgrade + Military Medical Academy, Clinic of Urology, BelgradeIntroduction. Situs inversus totalis (SIT) represents a total vertical transposition of the thoracic and abdominal organs which are arranged in a mirror image reversal of the normal positioning 1. We presented a successful pre-dialysis kidney transplantation from a living sibling donor with SIT and the longest donor follow-up period, along with analysis of the reviewed literature. Case report. The pair for pre-dialysis kidney transplantation included a 68-year-old mother and 34-year-old daughter at low immunological risk. Comorbidities evidenced in kidney donors with previously diagnosed SIT, included moderate arterial hypertension and borderline blood glucose level. Explantation of the left donor kidney and its placement into the right iliac fossa of the recipient were performed in the course of the surgical procedure. A month after nephrectomy, second degree renal failure was noticed in the donor. A 20-month follow-up of the donor’s kidney and graft in the recipient proved that their functions were excellent. Conclusion. In donors with previously diagnosed SIT the multidisciplinary approach, preoperative evaluation of the patient and detection of possible vascular anomalies are required to provide maximum safety for the donor.http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501400036P.pdfsitus inversuskidney transplantationtissue donors
spellingShingle Petrović Milica
Rabrenović Violeta
Stamenković Dušica
Vavić Neven
Kovačević Zoran
Ignjatović Ljiljana
Jovanović Dragan
Antić Svetlana
Milović Novak
Tomić Aleksandar
Bančević Vladimir
Specificities of transplantation of kidneys procured from donors with situs inversus totalis: A case report and review of the literature
Vojnosanitetski Pregled
situs inversus
kidney transplantation
tissue donors
title Specificities of transplantation of kidneys procured from donors with situs inversus totalis: A case report and review of the literature
title_full Specificities of transplantation of kidneys procured from donors with situs inversus totalis: A case report and review of the literature
title_fullStr Specificities of transplantation of kidneys procured from donors with situs inversus totalis: A case report and review of the literature
title_full_unstemmed Specificities of transplantation of kidneys procured from donors with situs inversus totalis: A case report and review of the literature
title_short Specificities of transplantation of kidneys procured from donors with situs inversus totalis: A case report and review of the literature
title_sort specificities of transplantation of kidneys procured from donors with situs inversus totalis a case report and review of the literature
topic situs inversus
kidney transplantation
tissue donors
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501400036P.pdf
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