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

IJU Case Reports

Masahiko Takahata¹  Daiki Iwami²  Tatsu Tanabe²  Naoya Iwahara²  Shuhei Yamada²  Kiyohiko Hotta²  Yuki Sugito²  Nobuo Shinohara² 

[1] Department of Orthopaedic Surgery Hokkaido University Hospital Sapporo Hokkaido Japan;Departments of Department of Urology Hokkaido University HospitalSapporo Japan;

关键词: complication;    femoral nerve palsy;    kidney;    self‐retaining retractor;    transplantation;   

DOI  :  10.1002/iju5.12207

来源: DOAJ

【 摘 要 】

Introduction 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. Case presentation 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. Conclusion The improper use of self‐retaining retractors can lead to femoral nerve palsy in patients undergoing kidney transplantation.

【 授权许可】

Unknown