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Related Concept Videos

Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Appendicitis-II: Diagnostic Studies and Management01:29

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Appendicitis01:19

Appendicitis

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Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
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Single Port Donor Nephrectomy
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Acute Appendicitis following Laparoscopic Live Donor Nephrectomy.

A Kumar1, H Elenin1, C Clayton1

  • 1Sheffield Kidney Institute, Sheffield, UK.

International Journal of Organ Transplantation Medicine
|July 12, 2014
PubMed
Summary

Acute appendicitis can occur after laparoscopic live donor nephrectomy (LLDN). Prompt diagnosis is crucial to prevent complications affecting kidney function and donation.

Keywords:
AppendicitisKidney donorLaparoscopic donor nephrectomy

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Area of Science:

  • Nephrology
  • Surgical Gastroenterology
  • Transplant Surgery

Background:

  • Laparoscopic live donor nephrectomy (LLDN) is a common procedure.
  • Postoperative abdominal pain after LLDN can present diagnostic challenges.

Observation:

  • A 62-year-old kidney donor experienced acute abdominal pain 16 days post-LLDN.
  • Initial ultrasound suggested a strangulated Spigelian hernia, unrelated to the surgical site.

Findings:

  • Surgical exploration revealed no hernia or wound issues, but an inflamed appendix adhered to omentum.
  • An appendectomy was performed, leading to the patient's full recovery.

Implications:

  • This case highlights the importance of considering acute appendicitis in post-LLDN abdominal pain.
  • Early diagnosis and treatment are vital to avoid septic complications that could impair renal function and kidney donation outcomes.