Category: Clinical Sciences/Health Conditions
Isolated unilateral femoral nerve neuropathy is an unusual complication after pelvic surgery and renal transplantation. Femoral neuropathy is a serious complication which compromises the postoperative recovery and prolongs the patient's hospital stay.
A 37-year-old man with end-stage renal disease due to obstructive uropathy was transplanted in the left iliac fossa. After surgery, he was unable to stand up. Clinical examination revealed weakness of the flexion of the hip and the extension of the knee, hypoesthesia in anterior surface of the thigh and absence of patellar tendon reflex. The patient is undergoing a rehabilitation program with recovery of walking ability.
The neuropathy of the femoral nerve is an unusual but disabling complication after renal transplantation. The prognosis of recovery depends upon the severity of the damage to the femoral nerve and it´s generally favorable in the presence of nerve integrity. Rehabilitation needs to be instituted as first-line treatment for optimal functional recovery.
Alexandra Coelho– Resident, Centro Hospitalar e Universitário de Coimbra
Joana Martins– Resident, Centro Hospitalar e Universitário de Coimbra
Ana Margarida Ferreira– Specialist, Centro Hospitalar e Universitário de Coimbra
João Branco– MD, Hospital da Universidade de Coimbra
Joao Pinheiro– PhD, Faculdade de Medicina da Universidade de Coimbra