Use of a pelvic kidney for living transplantation

Vascular and Ureteric Anomalies Associated with an Abdominal Ectopic Kidney: a Case Study

Introduction: Renal ectopia is an uncommon congenital condition, where kidney is misplaced and malrotated. Results: In the present study, it was found that the right kidney had a lower position (at the level of L2 to L5) than usual. The hilum of the right kidney was facing anterolaterally and had two renal pelvises. The right kidney was supplied by five renal arteries and the left one by two renal arteries. Discussion: Renal ectopia occurs due to abnormal ascend and rotation of the kidney. The majority of ectopia cases were reported in the pelvic region, but in the present study it was found in the abdominal region. Conclusion: Ectopic kidney may occur due to abnormal ascent and rotation of kidney. It may be associated with vascular and ureteric anomalies.

Successful Use of Ectopic Pelvic Kidney for Living Related Donation Technical Aspects and Literature Review

Ectopic pelvic kidneys can provide an additional source of organs for transplantation. They are often excluded from donation in living donation programs mainly due to aberrant vascular and urinary anatomies. We present a donor with an ectopic left kidney, who successfully donated his kidney. The use of ectopic pelvic kidney for living kidney transplantation is a highly demanding surgical procedure but after extensive preoperative investigation in high volume centers with surgical expertise in vascular reconstruction and access surgery, ectopic pelvic kidneys should not be a contraindication for donation and should be considered as a viable option.