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Children frequently receive care at trauma centers that do not participate in pediatric-specific benchmarking. Adult outcomes are discordant with pediatric mortality in mixed trauma centers and are not reliable surrogates for pediatric quality. Incorporation of pediatric-specific benchmarks should be required for centers that admit children.
This case report describes the successful transplantation of a pelvic ectopic kidney with multiple vessels from a living donor, using the recipient's internal iliac artery for the ex vivo reconstruction of four renal arteries before implantation into the recipient using single arterial and venous anastomosis.