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Transplantation of a Blue Kidney: A Case Report
Affiliation:1. School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey;2. Organ Transplantation Center, Acibadem International Hospital, Istanbul, Turkey;3. Pathology, Acibadem International Hospital, Istanbul, Turkey;4. Anesthesiology and Reanimation, Acibadem International Hospital, Istanbul, Turkey;1. Department of Surgery, Faculty of Medicine, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary;2. 2nd Department of Medicine and Cardiology Centre, Faculty of Medicine, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary;3. 1st Department of Medicine, Faculty of Medicine, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary;4. Department for Medical Translation and Communication, Faculty of Medicine, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary;1. Department of Pediatric Nephrology, Ege University Faculty of Medicine, İzmir, Turkey;2. Department of Nephrology, Ege University Faculty of Medicine, İzmir, Turkey;3. Department of Pathology, Ege University Faculty of Medicine, İzmir, Turkey;4. Department of General Surgery, Ege University Faculty of Medicine, İzmir, Turkey;1. Department of Organ Transplantation, Institute of Surgery, Faculty of Medicine, University of Debrecen, Debrecen, Hungary;2. Institute of Laboratory Medicine, Faculty of Medicine, University of Debrecen, Debrecen, Hungary;3. Laboratory of Immunogenetics, Hungarian National Blood Transfusion Service, Debrecen, Hungary;4. Division of Clinical Immunology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary;1. Hepatopancreaticobiliary Surgery and Liver Transplantation Unit, Department of General Surgery, Dokuz Eylul University School of Medicine, Izmir, Turkey;2. Division of Gastroenterology, Department of Internal Medicine, Dokuz Eylul University School of Medicine, Izmir, Turkey;3. Department of Preventive Oncology, Institute of Oncology, Dokuz Eylul University School of Medicine, Izmir, Turkey;1. Department of Cardiology, Faculty of Medicine, Akdeniz University, Antalya, Turkey;2. Department of General Surgery, Faculty of Medicine, Akdeniz University, Antalya, Turkey;3. Department of Neurology, Faculty of Medicine, Akdeniz University, Antalya, Turkey
Abstract:A blue kidney, although very rare, can be encountered upon a live kidney donor. Literature has shown hemosiderin deposits, lipofuscin pigment, and melanosis as possible reasons. We report on a 37-year-old woman who wished to donate a kidney to her husband. The donor's preoperative biochemistry and imaging tests showed normal renal function. During the laparoscopic left kidney nephrectomy, the kidney was observed to be blue in color. Perioperatively, Doppler ultrasonography was used to rule out vascular reasons, and a wedge biopsy was performed. The other kidney was also explored, and it turned out to be blue as well. Histopathological analysis showed melanosis in the tubules without malignity or pathologic changes in the glomeruli, the interstitium, or the vessels. Even though some causes of blue kidney may result in impairment of the renal function, after the necessary tests show no signs of malignity and functional impairment, a blue-colored kidney may be suitable for transplantation.
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