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This is a series of coronal sections from a computed tomography (CT) scan of the abdomen and pelvis, done as a screening scan for abdominal trauma when the donor was admitted to the hospital. Image (a) shows the left kidney in a normal anatomic position. Image (b) shows the inferior fusion plane. Image (c) shows the right ectopic kidney, crossing the midline across the iliac vessels.
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A computed tomography (CT) scan of the abdomen done at the time of admission revealed an ectopic right kidney located in the pelvis and fused with the lower pole of the left kidney, compatible with crossed fused renal ectopia (Figure 1).
This intraoperative picture shows the renal mass on the back table, prior to transection.
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Initially we had planned to split the kidneys and use each singly for transplant (Figure 2).
This intraoperative picture demonstrates the left kidney after transection, with the transected plane plegeted with fat and retention sutures.
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Pledgets of fat were used to prevent any cut through of the sutures through the parenchyma (Figure 3).