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Theory and Practice in Medicine, 2015, Vol. 21, No. 2.2

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Gintarė Nemuraitė, Evelina Narutytė, Laurynas Rimševičius, Ramūnas Tyla, Genadijus Kučinskis, Arūnas Želvys, Marius Miglinas

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Key words: horseshoe kidney, kidney transplantation.
Horseshoe kidney is congenital anomaly that results from abnormal fusion at the lower poles (95 %), or the upper poles. It is found in approximately 1 in 600–800 persons. Because horseshoe kidneys have complex anatomy, it makes transplantation more difficult technically, but not impossible. We report the transplantation of horseshoe kidney, which to the best of our knowledge, is the first such transplantation in Lithuania. The donor was 38-year-old man, who died of cerebral edema. The kidneys were transplanted to two recipients: 28-year-old woman and 53-year-old man who both suffered from 5’th stage chronic renal disease. After the surgery both patients experienced acute graft failure, but after the treatment the grafts started to function normally. Although both patients suffered from post-surgical complications, the anatomy of the kidneys should not be named as the cause. Because of its anatomical features horseshoe kidney is associated with higher complication risk. Before the utilization of such kidney it is important to consider such factors as renal vasclar anomalies, urological anatomy and degree of fusion. These factors help decide what surgery method should be performed.

DOI: 10.15591/mtp.2015.039
Submited: January 15, 2015
Accepted: February 26, 2015
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