Renal allograft torsion associated with prune-belly syndrome

Robert G. Marvin, Glenn A. Halff, Ihsan Elshihabi

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

We report a 26-month-old child diagnosed with prune-belly syndrome and end-stage renal disease who received intraperitoneal implantation of an adult cadaveric renal graft which functioned very well for approximately 6 weeks. The patient then presented with acute renal failure which was proved to be secondary to torsion of the graft, twisting the artery and vein. The ureter was wrapped 360° around the graft. These conditions resulted in loss of the graft and nephrectomy. Ours is the second report of such an occurrence; the first was from a living-related kidney donor. We believe the lack of abdominal wall tone contributes to graft mobility and risk of torsion of the kidney. We recommend that nephropexy be considered in these patients. In addition, the risk of torsion must be at the forefront of the differential diagnosis in a prune-belly renal transplant patient with acute onset of oliguria. Renal sonorgraphy with Doppler should be employed as soon as possible so that the graft can be saved.

Original languageEnglish (US)
Pages (from-to)81-82
Number of pages2
JournalPediatric Nephrology
Volume9
Issue number1
DOIs
StatePublished - Feb 1 1995

Keywords

  • End-stage renal disease
  • Prune-belly syndrome
  • Rejection
  • Torsion
  • Transplant

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Nephrology

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