Received 4 February 2009; accepted 13 April 2009. published online 16 July 2009.
A 37-year-old man with end-stage renal disease, despite having received cadaveric renal transplants in 1991 and 1997, was scheduled for nephrectomy of 1 graft before rescheduling him for a third renal transplant. Computed tomography showed complete calcification of right renal allograft, with no calcification of iliac vessels or other abdominal soft tissue. An extracapsular approach was elected to avoid leaving a calcified renal capsule and troubles in cleaving it from renal parenchyma. Preoperative imaging and familiarity with both extra- and intracapsular technique of graft nephrectomy are essential for urologists called upon to perform such procedure.
aDepartment of Urology and Kidney Transplant, University of Foggia, Foggia, Italy
bDepartment of Nephrology and Renal Transplantation, University of Foggia, Foggia, Italy
Reprint requests: Oscar Selvaggio, Ph.D., Department of Urology and Renal Transplant, University of Foggia, Foggia, Italy
ABSTRACT