Conservative management of appendicitis following Laparoscopic Live Donor Nephrectomy

Abstract

Appendicitis following a live laparoscopic donor nephrectomy (LLDN) is rare complication and can present a diagnostic challenge. LLDN patients represent a unique group of patients for which there is limited research. Preventing a second operation and preserving residual kidney function are important considerations.

Herein we present a case of appendicitis 9 days post hand assisted laparoscopic donor nephrectomy which presented as right sided abdominal pain and was confirmed on computed tomography. It was successfully managed through a conservative approach of intravenous antibiotics and fluid.

This case demonstrated successful conservative management of appendicitis post LLDN and is the first reported case of conservative management in LLDN patients and only the second reported case of appendicitis post LLDN.