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Journal of Transplantation
Volume 2010, Article ID 383972, 5 pages
Case Report

Successful Transplantation of a Split Crossed Fused Ectopic Kidney into a Patient with End-Stage Renal Disease

1Division of Transplant, Hepatobiliary and Pancreatic Surgery, Mayo Clinic, Phoenix, AZ 85054, USA
2Departmen of Urology, Mayo Clinic, Phoenix, AZ 85054, USA
3Division of Transplant Nephrology, Mayo Clinic, Phoenix, AZ 85054, USA

Received 19 November 2009; Accepted 13 January 2010

Academic Editor: Paul C. Kuo

Copyright © 2010 Kristin L. Mekeel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Potential donors with congenital renal anomalies but normal renal function are often overlooked because of a possible increase in technical difficulty and complications associated with the surgery. However, as the waiting list for a deceased donor kidney transplant continues to grow, it is important to consider these kidneys for potential transplant. This paper describes the procurement of a crossed fused ectopic kidney, and subsequent parenchymal transection prior to transplantation as part of a combined simultaneous kidney pancreas transplant. The transplant was uncomplicated, and the graft had immediate function. The patient is now two years from transplant with excellent function.