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

Autor: Shuhei Yamada, Kiyohiko Hotta, Masahiko Takahata, Daiki Iwami, Yuki Sugito, Tatsu Tanabe, Naoya Iwahara, Nobuo Shinohara
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: IJU Case Reports, Vol 3, Iss 6, Pp 248-251 (2020)
Druh dokumentu: article
ISSN: 2577-171X
DOI: 10.1002/iju5.12207
Popis: 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.
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