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Case Report
When the plan “A” does not work, there is an “O” in the alphabet: Orthotopic kidney transplant. A case report
1 Transplant surgeon, Division of Transplant Surgery, Department of General Surgery, Hospital Valentin Gomez Farias, Institute of Social Security and Services for State Workers, Zapopan, Jalisco, Mexico
2 Urology resident, Division of Urology, Department of General Surgery, Hospital Valentin Gomez Farias, Institute of Social Security and Services for State Workers, Zapopan, Jalisco, Mexico
3 Nephrology resident, Division of Nephrology and Kidney Transplant, Department of Internal Medicine, Hospital Valentin Gomez Farias, Institute of Social Security and Services for State Workers, Zapopan, Jalisco, Mexico
Address correspondence to:
Gandhi Thomas Fonseca
Nephrologist, Division of Nephrology and Kidney Transplant, Department of Internal Medicine, Hospital Valentin Gomez Farias, Institute of Social Security and Services for State Workers, Soledad Orozco Avenue, 203, ZIP code 45100, Zapopan, Jalisco,
Mexico
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Article ID: 100048Z15JO2024
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Olivares J, Sanchez AV, Monreal MC, Zorrilla CF, Fonseca GT. When the plan “A” does not work, there is an “O” in the alphabet: Orthotopic kidney transplant. A case report. J Case Rep Images Urol 2024;9(2):12– 17.ABSTRACT
Introduction: The prolonged wait for an organ can lead to depletion of vascular access in patients with chronic kidney disease. The lack of suitable vessels forces surgeons to explore alternative approaches for renal graft anastomosis, such as the orthotopic transplant procedure. The aim of this article is to present a case of a patient with exhaustion of vascular access and urgent need for kidney transplantation, which was successfully performed using orthotopic technique.
Case Report: A 33-year-old man with stenosis of the iliac arteries underwent an orthotopic transplant with placement of the graft to the splenic vessels and pyeloureteral anastomosis. The patient had a very successful evolution and normal graft function.
Conclusion: As surgical techniques evolve, increasingly complex patients require advanced, individualized approaches. This case exemplifies the multidisciplinary planning and execution needed to meet the growing challenges in transplantation. The report underscores the importance of innovative surgical strategies and comprehensive transplant protocols to address the future demands of the transplant community.
Keywords: Kidney allograft, Kidney transplantation, Orthotopic transplant
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Acknowledgments
We would like to thank all the residents in nephrology, the anesthesiology department, urology and intensive care unit who helped to obtain the best outcomes with our patient.
Author ContributionsJosue Olivaresdel Moral - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Alfonso Vega Sanchez - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Michel Cedillo Monreal - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Carlos Florez Zorrilla - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Gandhi Thomas Fonseca - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest
Copyright© 2024 J Olivares et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
