Pelvic kidney for living transplantation: case report and review of the literature.

INTRODUCTION: The difference between available kidneys and the number of patients on waiting list for kidney transplantation continues to grow. For this reason the trend is to use donors with expanded criteria, such as a pelvic kidney, as we describe below.

CASE REPORT: Male patient 25 years-old with end-stage kidney disease, receives as a graft a pelvic kidney from his father, 49 years-old, known to have controlled systemic arterial hypertension and nephrolithiasis by history without new episodes in the last 10 years. Function and anatomy of the pelvic kidney were evaluated through magnetic angioressonance, computerized tomography and scintigraphy. After an initial rejection episode promptly treated, the patient has had an uneventful recovery.

CONCLUSION: To increase the number of kidneys available for transplantation, it is reasonable to use a pelvic kidney, after a thorough investigation.