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Intraoperative picture of right sided transplant fossa with complete absence of iliac arterial system.
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While preparing the transplant bed we encountered complete absence of right sided iliac arterial system, including common iliac (CIA), internal iliac (IIA), and external iliac arteries (EIA) (Figure 1).
Postoperative image showing well-perfused transplanted kidneys.
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Intra operatively the renal perfusion was good (Figure 2).
A MR angiogram done 6 weeks later revealed good vascular supply to the transplanted kidneys and the right lower limb. An absent or hypoplastic iliac system on the right side could as well be appreciated.
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A posttransplant magnetic resonance angiogram (MRA) was done 6 weeks later which revealed good vascular supply to the right kidney and the right lower limb (Figure 3).