Femoral nerve palsy following kidney transplantation: A case report and review of the literature.

complication femoral nerve palsy kidney self‐retaining retractor transplantation

Journal

IJU case reports
ISSN: 2577-171X
Titre abrégé: IJU Case Rep
Pays: Australia
ID NLM: 101764958

Informations de publication

Date de publication:
Nov 2020
Historique:
received: 29 04 2020
revised: 03 07 2020
accepted: 06 07 2020
entrez: 9 11 2020
pubmed: 10 11 2020
medline: 10 11 2020
Statut: epublish

Résumé

Femoral nerve palsy is a rare but serious complication of kidney transplantation. We report a case of femoral nerve palsy following kidney transplantation and conduct a review of the literature on this complication. A 35-year-old woman with end-stage kidney disease, underwent kidney transplantation in the right iliac fossa. The day after the transplantation, she could not straighten her right leg. Physical examination revealed a paresis of her right quadriceps muscle. The patient's sensation of her right thigh was also impaired. We diagnosed her with femoral nerve palsy caused by inappropriate compression from a self-retaining retractor. Rehabilitation was started immediately. The patient's motor weakness gradually improved, and the patient became able to walk independently 4 weeks later. However, the patient's neuropathic pain sustained 6 months after her kidney transplantation. The improper use of self-retaining retractors can lead to femoral nerve palsy in patients undergoing kidney transplantation.

Identifiants

pubmed: 33163916
doi: 10.1002/iju5.12207
pii: IJU512207
pmc: PMC7609172
doi:

Types de publication

Case Reports

Langues

eng

Pagination

248-251

Informations de copyright

© 2020 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Urological Association.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Shuhei Yamada (S)

Department of Urology Hokkaido University Hospital Sapporo Japan.

Kiyohiko Hotta (K)

Department of Urology Hokkaido University Hospital Sapporo Japan.

Masahiko Takahata (M)

Department of Orthopaedic Surgery Hokkaido University Hospital Sapporo Hokkaido Japan.

Daiki Iwami (D)

Department of Urology Hokkaido University Hospital Sapporo Japan.

Yuki Sugito (Y)

Department of Urology Hokkaido University Hospital Sapporo Japan.

Tatsu Tanabe (T)

Department of Urology Hokkaido University Hospital Sapporo Japan.

Naoya Iwahara (N)

Department of Urology Hokkaido University Hospital Sapporo Japan.

Nobuo Shinohara (N)

Department of Urology Hokkaido University Hospital Sapporo Japan.

Classifications MeSH