Adnexal tumor found during a brain-dead donor organ retrieval: a case report*

Author:

Zhang Bo1234,Shi Huibo5,Xu Jing5,Li Xiaoqin5,Zeng Mengjun5,Tao Ying5,Wu Xing5,Jiang Jipin5

Affiliation:

1. Institute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China

2. Key Laboratory of Organ Transplantation, Ministry of Education, Wuhan 430030, China

3. NHC Key Laboratory of Organ Transplantation, Wuhan 430030, China

4. Key Laboratory of Organ Transplantation, Chinese Academy of Medical Sciences, Wuhan 430030, China

5. Organ Procurement Organization (OPO), Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China

Abstract

Abstract Pre-donation evaluation of organ donors is important. Organ quality directly affects both short- and long-term survival rates of transplanted organs and recipients after transplantation. Contraindications to donation are directly related to recipient survival and medical ethics. The following information is included in this organ donation case report: detailed medical history (primary disease and surgical history), blood type, infectious diseases, coagulation function, biochemical function, tumor biomarker, indicators related to tuberculosis infection, microbial culture indicators, lung computed tomography (CT) scan, and abdominal ultrasound (heart, liver, gallbladder, pancreas, spleen, kidneys, ureters, bladder, adnexa). We found a 10 cm × 10 cm space-occupying lesion in the abdominal cavity in this donor organ retrieval surgery. Frozen or paraffin sections showed that the space-occupying lesion was malignant. The organ donor was not suitable due to the malignant tumor, and the transplantation surgery was canceled. We analyzed this case of organ donation to provide a reference for the follow-up donation evaluation process. This case study reveals the limitations of preoperative non-invasive assessment, the necessity of preoperative multi-dimensional assessment of organ function, and the exclusion of donation contraindications.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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