En-bloc kidney transplant from an 11-month-old pediatric donor to an adult recipient: Case report and review of literature

Abstract

The huge disparity between the number of end-stage renal disease patients awaiting renal transplant and the available donor organs can be overcome by increasing the utilization of donor organs from deceased donors. The use of kidneys from a deceased pediatric donor is technically challenging because of the smaller size of the donor organ, leading to a higher incidence of graft thrombosis apart from concerns of low nephron load resulting in early graft failure. We present a case of en-bloc kidney transplant from an 11-month-old to a 38-year-old female recipient. The cold ischemia was 250 min and operative time was 300 min. The 1st day urine output was 6.7 l with serum creatinine dropped to 0.9% mg on postoperative day 3.

Keywords

• deceased donor
• en-bloc kidney
• increased utilization of deceased donor
• low nephron load
• pediatric donor