Femoral mononeuropathy post kidney transplants a very rare surgical complication in kidney transplantation: A case report

Kidney transplantation is accepted as the first choice treatment of chronic renal failure. While urologic complication is the most common surgical complication after kidney transplantation, femoral nerve injury is very rare, which in our department with 1500 kidney transplantation experiences betwee...

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Main Authors: Afshar Zomorrodi, Kamaleddin Hassanzadeh
Format: Article
Language:English
Published: Tabriz University of Medical Sciences Press 2023-03-01
Series:Journal of Research in Clinical Medicine
Subjects:
Online Access:https://jrcm.tbzmed.ac.ir/PDF/jrcm-11-5.pdf
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author Afshar Zomorrodi
Kamaleddin Hassanzadeh
author_facet Afshar Zomorrodi
Kamaleddin Hassanzadeh
author_sort Afshar Zomorrodi
collection DOAJ
description Kidney transplantation is accepted as the first choice treatment of chronic renal failure. While urologic complication is the most common surgical complication after kidney transplantation, femoral nerve injury is very rare, which in our department with 1500 kidney transplantation experiences between 1992 and 2019, we had only two reported cases of femoral mononeuropathy. A 55 years old woman with a duration of 4 years’ dialysis (her donor was her son) and a female with the age of 45 years and duration of 3 years’ dialysis (her donor was a cadaver) instantly after kidney transplant operation symptoms of femoral nerve injury were detected, which were the loss of knee jerk reflex, reduced resistance of knee and not being able to give the flexion position to the knee when standing or walking. The femoral nerve injury may be self-limited and it looks preventable with a careful handling of the pelvic iliac artery and gentle placement of the retractor and less time of ischemic and careful hemostasis.
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spelling doaj.art-f2f42be42ef84a22994a8dfe21c0738c2023-03-05T06:07:34ZengTabriz University of Medical Sciences PressJournal of Research in Clinical Medicine2717-06162023-03-011115510.34172/jrcm.2023.32070jrcm-32070Femoral mononeuropathy post kidney transplants a very rare surgical complication in kidney transplantation: A case reportAfshar Zomorrodi0Kamaleddin Hassanzadeh1Kidney Research Center, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, IranKidney Research Center, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, IranKidney transplantation is accepted as the first choice treatment of chronic renal failure. While urologic complication is the most common surgical complication after kidney transplantation, femoral nerve injury is very rare, which in our department with 1500 kidney transplantation experiences between 1992 and 2019, we had only two reported cases of femoral mononeuropathy. A 55 years old woman with a duration of 4 years’ dialysis (her donor was her son) and a female with the age of 45 years and duration of 3 years’ dialysis (her donor was a cadaver) instantly after kidney transplant operation symptoms of femoral nerve injury were detected, which were the loss of knee jerk reflex, reduced resistance of knee and not being able to give the flexion position to the knee when standing or walking. The femoral nerve injury may be self-limited and it looks preventable with a careful handling of the pelvic iliac artery and gentle placement of the retractor and less time of ischemic and careful hemostasis.https://jrcm.tbzmed.ac.ir/PDF/jrcm-11-5.pdfkidney transplantationfemoral nervenerve injurycase report
spellingShingle Afshar Zomorrodi
Kamaleddin Hassanzadeh
Femoral mononeuropathy post kidney transplants a very rare surgical complication in kidney transplantation: A case report
Journal of Research in Clinical Medicine
kidney transplantation
femoral nerve
nerve injury
case report
title Femoral mononeuropathy post kidney transplants a very rare surgical complication in kidney transplantation: A case report
title_full Femoral mononeuropathy post kidney transplants a very rare surgical complication in kidney transplantation: A case report
title_fullStr Femoral mononeuropathy post kidney transplants a very rare surgical complication in kidney transplantation: A case report
title_full_unstemmed Femoral mononeuropathy post kidney transplants a very rare surgical complication in kidney transplantation: A case report
title_short Femoral mononeuropathy post kidney transplants a very rare surgical complication in kidney transplantation: A case report
title_sort femoral mononeuropathy post kidney transplants a very rare surgical complication in kidney transplantation a case report
topic kidney transplantation
femoral nerve
nerve injury
case report
url https://jrcm.tbzmed.ac.ir/PDF/jrcm-11-5.pdf
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AT kamaleddinhassanzadeh femoralmononeuropathypostkidneytransplantsaveryraresurgicalcomplicationinkidneytransplantationacasereport