Specifičnosti transplantacije bubrega dobijenih od donora sa situs inversus totalis – prikaz bolesnika i pregled literature

  • Milica Petrovic Clinic of Nephrology, Military Medical Academy, Belgrade, Serbia;
  • Violeta Rabrenović Clinic of Nephrology, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Dušica Stamenković Clinic of Anaesthesia and Intensive Care Military Medical Academy, Belgrade, Serbia
  • Neven Vavić Clinic of Nephrology, Military Medical Academy, Belgrade, Serbia
  • Zoran Kovačević Clinic of Nephrology, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Ljiljana Ignjatović Clinic of Nephrology, Military Medical Academy, Belgrade, Serbia
  • Dragan Jovanović Clinic of Nephrology, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Svetlana Antić Clinic of Nephrology, Military Medical Academy, Belgrade, Serbia
  • Novak Milović Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia; Clinic of Urology Military Medical Academy, Belgrade, Serbia
  • Aleksandrar Tomić Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia; Clinic of Vascular and Endovascular Surgery, Military Medical Academy, Belgrade, Serbia
  • Vladimir Bančević Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia; Clinic of Urology Military Medical Academy, Belgrade, Serbia
DOI: https://doi.org/10.2298/4632
Ključne reči: situs inversus||, ||situs inversus, kidney transplantation||, ||transplantacija bubrega, tissue donors||, ||tkivo, davaoci,

Sažetak


Uvod. Situs inversus totalis (SIT) predstavlja potpunu vertikalnu transpoziciju torakalnih i abdominalnih organa koji se u odnosu na normalan raspored preslikavaju kao u ogledalu. U radu je prikazana uspešno izvršena predijalizna transplantacija bubrega dobijenog od živog srodnog donora sa SIT i najdužim periodom praćenja, uz analizu do sada objavljenih sličnih slučajeva. Prikaz bolesnika. Par pripreman za predijaliznu transplantaciju bubrega činile su živi donor – majka, stara 68 godina, i primalac – kćerka, stara 34 godine, sa niskim imunološkim rizikom. Kod donora je ranije dijagnostikovan SIT, a od komorbiditeta bila je prisutna arterijska hipertenzija regulisana terapijom uz granične vrednosti glikemije. Eksplantacija levog bubrega donora i njegova transplantacija u desnu ilijačnu jamu primaoca izvedeni su otvorenim hirurškim pristupom. Mesec dana nakon operacije kod donora je uočena renalna insuficijencija drugog stepena. Dvadeset meseci nakon transplantacije stanje bubrega donora i grafta kod primaoca bili su uredni. Zaključak. Multidisciplinarni pristup, preoperativna procena bolesnika i otkrivanje mogućih vaskularnih anomalija neophodni su kod donora sa ranije dijagnostikovanim SIT, u cilju obezbeđivanja maksimalne bezbednosti za donora u intraoperativnom i postoperativnom periodu.

Biografija autora

Milica Petrovic, Clinic of Nephrology, Military Medical Academy, Belgrade, Serbia;

Department of nephrology

Nephrologist

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Objavljeno
2015/07/08
Broj časopisa
Vol. 72 Br. 1 (2015)
Rubrika
Prikaz bolesnika