CASE 40: En-bloc Pediatric Kidneys

When the size of the donor kidneys is considered too small to implant as an isolated graft, the kidneys can be implanted en bloc, as shown in this instance of a 3 year old pediatric donor. Figure 112-165 shows the graft during back-table preparation. Figure 112-166 shows the graft after implantation. Donor right kidney (yellow arrows), donor left kidney (orange arrows), donor aorta (pink arrows), donor IVC (light blue arrows), donor ureters (green arrows), oversewn proximal donor IVC stump (white arrows), recipient external iliac vein (dark blue arrow), recipient external iliac artery (red arrow).

When the size of the donor kidneys is considered too small to implant as an isolated graft, the kidneys can be implanted en bloc, as shown in this instance of a 3 year old pediatric donor. Figure 112-165 shows the graft during back-table preparation. Figure 112-166 shows the graft after implantation. Donor right kidney (yellow arrows), donor left kidney (orange arrows), donor aorta (pink arrows), donor IVC (light blue arrows), donor ureters (green arrows), oversewn proximal donor IVC stump (white arrows), recipient external iliac vein (dark blue arrow), recipient external iliac artery (red arrow).

US images of the en bloc kidneys labelled “SUP” (superior) and “INF” (inferior) based on their appearance when obtaining the imaging study. Note the sizes (7.43 and 7.25 cm respectively) as well as the arterial and venous waveforms showing adequate perfusion.

US images of the en bloc kidneys labelled “SUP” (superior) and “INF” (inferior) based on their appearance when obtaining the imaging study. Note the sizes (7.43 and 7.25 cm respectively) as well as the arterial and venous waveforms showing adequate perfusion.

US images of the en bloc kidneys labelled “SUP” (superior) and “INF” (inferior) based on their appearance when obtaining the imaging study. Note the sizes (7.43 and 7.25 cm respectively) as well as the arterial and venous waveforms showing adequate perfusion.

US images of the en bloc kidneys labelled “SUP” (superior) and “INF” (inferior) based on their appearance when obtaining the imaging study. Note the sizes (7.43 and 7.25 cm respectively) as well as the arterial and venous waveforms showing adequate perfusion.

US images of the en bloc kidneys labelled “SUP” (superior) and “INF” (inferior) based on their appearance when obtaining the imaging study. Note the sizes (7.43 and 7.25 cm respectively) as well as the arterial and venous waveforms showing adequate perfusion.