肝移植レシピエントをドナーとした脳死腎移植の1例

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タイトル別名
  • Deceased Donor Kidney Transplantation from a Liver Transplantation Recipient
  • カン イショク レシピエント オ ドナー ト シタ ノウシ ジン イショク ノ 1レイ

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抄録

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.

収録刊行物

  • 泌尿器科紀要

    泌尿器科紀要 62 (10), 529-534, 2016-10-31

    泌尿器科紀要刊行会

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