RENAL AMYLOIDOSIS WITHOUT URINARY ABNORMALITY IN A POTENTIAL LIVE-KIDNEY DONOR

In many countries living related donors are still the main source of k idneys for transplantation in view of the poor legal definition and de ficient organization required for cadaver donor work-up. The use of li ving donors has been further justified by the fact that recipient and graft survival rates with living donors have consistently exceeded the rates achieved with cadaver donors [1]. Once a suitable living donor has been found it is necessary to ensure that he has two well-function ing kidneys and that the renal function is evenly divided. The battery of tests usually done for preoperative evaluation of the potential li ve-kidney donor is currently thought to be adequate enough to detect o r suspect any functional or anatomical renal abnormality. Herein we pr esent a case of live-kidney donor who had absolutely normal preoperati ve clinical, laboratory, and radiological routine investigations; howe ver, extensive perirenal adhesions were detected during dissection of the left kidney that precluded its harvesting. Biopsy was taken and th e histopathological pattern is described.