Nokay E., Erturk T. , Karayagiz A., Ozdemir E., Baba Z., Nokay H., et al.
Transplantation Proceedings, cilt.51, ss.1190-1192, 2019 (SCI İndekslerine Giren Dergi)
blue kidney, although very rare, can be encountered upon a live
kidney donor. Literature has shown hemosiderin deposits, lipofuscin
and melanosis as
possible reasons. We report on a 37-year-old woman who wished to
donate a kidney to her husband. The donor's preoperative biochemistry
and imaging tests showed normal renal function. During the
laparoscopic left kidney nephrectomy,
the kidney was observed to be blue in color. Perioperatively, Doppler
used to rule out vascular reasons, and a wedge biopsy was performed.
The other kidney was also explored, and it turned out to be blue as
well. Histopathological analysis showed melanosis in the tubules
without malignity or pathologic changes in the glomeruli,
or the vessels. Even though some causes of blue kidney may result in
impairment of the renal function, after the necessary tests show no
signs of malignity and functional impairment, a blue-colored kidney
may be suitable for transplantation.