MEDtube Science 2017 - Can Transplantation of Kidney from Living Related Donor with Both-sided Double Renal Arteries to Adpkd Patient Allergic to Muscle Relaxant Succeed? – A Case Study

55-year old man (BMI = 32) with ESRD caused by ADPKD was qualified to kidney transplantation. His 63 years old sister (BMI = 24, GFR = 97 ml/min/1.73 m2 and both-sided double renal arteries) volunteered to be an organ donor. In the half of March 2014, open nephroureterectomy procedure was performed. Left kidney was prepared and ureter was cut out. Then, transplant recipient revealed anaphylactic shock during induction of his general anaesthesia. Donors ureter was reconstructed by end-to-end repair. The diagnosis of recipient’s allergy to the antibiotic was suspected. A month later, second try of transplantation was performed. At those time, ciprofloxacin instead of ceftriaxone was administered for the recipient, however symptoms of the anaphylactic shock occurred again. Further diagnostic tests for anaesthetic agents showed positive intradermic allergy tests with cisatracurium. Next month, third try of kidney transplantation was organized and pancuronium was administered for skeletal muscles relaxation. Recipient anaelgesia underwent without any complications.