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

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, un...

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Bibliographic Details
Published in:IJU case reports 2020-11, Vol.3 (6), p.248-251
Main Authors: Yamada, Shuhei, Hotta, Kiyohiko, Takahata, Masahiko, Iwami, Daiki, Sugito, Yuki, Tanabe, Tatsu, Iwahara, Naoya, Shinohara, Nobuo
Format: Article
Language:English
Subjects:
Case Report
Case Reports
complication
femoral nerve palsy
kidney
Kidney diseases
Kidney transplants
Neurological disorders
Pain
Quality of life
self‐retaining retractor
Surgical techniques
transplantation
Transplants & implants
Veins & arteries
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Summary: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.
ISSN:2577-171X
2577-171X
DOI:10.1002/iju5.12207