Thursday, March 11, 2010

Hydronephrosis in Pregnancy


I just came across a 24 year old asymptomatic woman with no prior renal issues presenting with acute renal failure at 32 weeks of gestation. Work up was pretty much negative excepting for bilateral hydronephrosis and hydroureters proximally on renal ultrasound. Although hydronephrosis is usually physiologic in pregnancy, we proceeded with ureteral stenting as no other cause of her renal failure is evident. Her urine output improved and renal failure resolved. So I did some literature review on this topic. Here is what I found: Upto 90% of pregnant women show some dilation of the renal pelvis and proximal ureters by the thrid trimester of pregnancy. 2 Reasons: hormonal (progesteron) effect on ureters leading to reduced peristalsis and mechanical effects of enlarging gravid uterus on ureters. The development of hydronephrosis is considered physiologic as it is usually asymptomatic and does not lead to renal failure. Occasionally, you may across a rare patient like our patient with renal failure. The last published case report on this topic that I could find in any nephrology journal is almost 15 years before (Jena et al, AJKD 1996). In this report, authors reported that there were only 18 published case reports of reversible obstructive uropathy linked to the gravid uterus thus far. The risk factors for renal failure are twin gestation, polyhydramnios and solitary kidney but our patient has none of these.

134 comments:

  1. We have an informative tutorial on pediatric renal development and dysplasia by a pediatric nephrologist that you might find educational.

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    costs or paying debts or in a state of financial breakdown? Wait! Consider selling your kidney as an Option. If you wish to sell your kidney today. Message us immediately.
    A kidney is bought for a maximum amount of $600,000.00US Dollars. The National foundation is currently buying healthy kidney. My name is Dr Jerry Mark ,i am a Nephrologist in the kidney National hospital.columbia Hospital is specialized in Kidney Surgery and we also deal with buying and transplantation of kidneys with a living an corresponding donor. We are located in Indian, Canada, UK, Turkey, USA, Malaysia, South Africa etc. If you are interested in selling or buying kidney’s please don’t hesitate to contact us via Email :columbiahospitals11@gmail.com

    Need Geniune Donors
    Waiting for your responds….
    Mobile No:+919643062464
    Best Regards
    Dr Jerry Mark

    ReplyDelete
  60. Welcome to Apollo Hospital, Specialist hospital that buy kidney.
    Do you wish to sell your kidney in exchange of money? If yes.
    Then contact Dr Lucky Gacia today to get a reliable and good transaction for good money.
    Contact via below information
    email: apollohospitalkidneydep@gmail.com
    call me @ +918122208392
    WhatsApp number: +919004558395

    ReplyDelete
  61. Welcome to Apollo Hospital, Specialist hospital that buy kidney.
    Do you wish to sell your kidney in exchange of money? If yes.
    Then contact today to get a reliable and good transaction for good money.
    Contact via below information
    email: apollohospitalkidneydep@gmail.com
    call me @ +918122208392
    WhatsApp number: +919004558395

    ReplyDelete

  62. Do you want to sell your kidney? Are you seeking for an opportunity to sell your kidney for money due to financial break down and you don’t know what to do, then contact us today and we shall offer you good amount of $409,000.00 USD, for your Kidney.My name is (Dr. Thomas Franklin ) Am the representative doctor of Apollo Hospital New Delhi . Our hospital is specialized in Kidney Surgery and we also deal with buying and transplantation of kidneys with a living an corresponding donor. If you are interested in selling or buying kidney’s please don’t hesitate to contact us via whats app message only +918147507806 ;
    via email;thomasfranklin038@gmail.com

    ReplyDelete
  63. Dr Frank Williams Are you interested is selling your human parts such as k1dnney, Blood,L1vers, with sum $450,000.00 USD We are urgently in need of 0gans,For details WhatsApp: +91 920 623 0532 Mobile +91 965 496 3751 via Email: continetalhospital@gmail.com

    ReplyDelete
  64. We are urgently in need of kidney donor in a very good health condition for the sum of $470,000,00 and we will take properly care of the donor doling the whole process, here you can contact us via email address: ahospital661@gmail.com or phone number-+919677345881 by name Dr Donald Moore.

    ReplyDelete
  65. Hello

    this is to inform the general public that healthy Kidney donors are needed from all blood groups by Manipal Hospita, each donor gets 1 crore 20 lakhs. Advance payment will be paid first to the donor before the operation will commence after which the balance will be paid after the completion of the operation. hurry now and contact us via email pramodtransplant7@gmail.com or WhatsApp +918867413844


    Best regard
    Dr Pramod
    WhatsApp +918867413844

    ReplyDelete
  66. This is to inform the general public Male or Female who are healthy and 0 serious in selling their kidney should urgently
    contact St.Anthony's Hospital. As we have a lot of patients who are here for kidney transplant,We are urgently in need of
    kidney donors for the sum of $450,000,00-USD Contact us with this phone number +917558170594 or email us with our
    email:<> [st.anthonyshospital@dr.com] or [info.st.anthonyshospital.in66@gmail.com] Rv. Doctor, Sylvanus Kindness from
    ST.ANTHONYS HOSPITAL for for more details

    ReplyDelete
  67. We are urgently in need of kidney donor in a very good health condition for the sum of $470,000,00 and we will take properly care of the donor doling the whole process, here you can contact us via email address: ahospital661@gmail.com or phone number-+919677345881 by name Dr Donald Moore.

    ReplyDelete
  68. Are you in a state of financial breakdown? Wait! Consider selling your kidney as an Option. If you wish to sell your kidney today. Message us immediately.
    A kidney is bought for a maximum amount of $600,000.00US Dollars. The National foundation is currently buying healthy kidney. My name is Dr Christopher Williams,i am a Nephrologist in the kidney National hospital. max Hospital is specialized in Kidney Surgery and we also deal with buying and transplantation of kidneys with a living an corresponding donor. We are located in Indian, Canada, UK, Turkey, USA, Malaysia, South Africa etc. If you are interested in selling or buying kidney’s please don’t hesitate to contact us via Email : maxhealthcarecentre@gmail.com

    Need Geniune Donors
    Waiting for your responds….
    Mobile No:+917875048950
    Best Regards
    Dr Christopher Williams

    ReplyDelete
  69. We are urgently in need of kidney donor in a very good health condition for the sum of $470,000,00 and we will take properly care of the donor doling the whole process, here you can contact us via email address: ahospital661@gmail.com or phone number-+919677345881 by name Dr Donald Moore.

    ReplyDelete
  70. Dear Sir /Madam,
    Hello , Are you interested to selling one of your kidney for a good amount of {$800.000USD} in India pls kindly Contact us now on our email: columbiaasiahospital9@gmail.com as we are looking for kidney donor, Very urgently who are group B,group A ,O+ve and 0+ve. Interested Donor should contact us now.

    Best Regards:
    Dr. Davis Morgan
    Columbia Asia Hospital
    Phone:+91-9791950646
    WhatsApp: +91-9791950646

    ReplyDelete
  71. My name is Dr. Ashutosh Chauhan A Phrenologist in Kokilaben Hospital,We are urgently in need of kidney donors in Kokilaben Hospital India for the sum of $500,000,00,All donors are to reply via Email only: hospitalcarecenter@gmail.com or Email: kokilabendhirubhaihospital@gmail.com
    WhatsApp +91 7795833215

    ReplyDelete
  72. Dear Sir /Madam,
    Hello , Are you interested to selling one of your kidney for a good amount of {$800.000USD} in India pls kindly Contact us now on our email: columbiaasiahospital9@gmail.com as we are looking for kidney donor, Very urgently who are group B,group A ,O+ve and 0+ve. Interested Donor should contact us now.

    Best Regards:
    Dr. Davis Morgan
    Columbia Asia Hospital
    Phone:+91-9791950646
    WhatsApp: +91-9791950646

    ReplyDelete
  73. We are urgently in need of kidney donor in a very good health condition for the sum of $470,000,00 and we will take properly care of the donor doling the whole process, here you can contact us via email address: ahospital661@gmail.com or phone number-+919677345881 whatsApp or call. by name Dr Donald Moore.

    ReplyDelete
  74. Dear Sir /Madam,
    Hello , Are you interested to selling one of your kidney for a good amount of {$800.000USD} in India pls kindly Contact us now on our email: columbiaasiahospital9@gmail.com as we are looking for kidney donor, Very urgently who are group B,group A ,O+ve and 0+ve. Interested Donor should contact us now.

    Best Regards:
    Dr. Davis Morgan
    Columbia Asia Hospital
    Phone:+91-9791950646
    WhatsApp: +91-9791950646

    ReplyDelete
  75. Dear sir/madam,we the management of Lorena Kidney foundation center are seeking eligible kidney donors who are willing to donate/sell their kidney for sum $500,000.00USD,advance payment $250,000.00 USD..interested donors should contact us via email: lorenakidneyclinic@gmail.com
    lorenakidneyclinic@gmail.com

    Waiting for your responds
    Best regards
    Dr Lorena

    ReplyDelete
  76. We are urgently in need of kidney donor in a very good health condition for the sum of $470,000,00 and we will take properly care of the donor doling the whole process, here you can contact us via email address: ahospital661@gmail.com or phone number-+919677345881 whatsApp or call. by name Dr Donald Moore.

    ReplyDelete
  77. Do you want to sell your k1dney for $500.000.00 usd. Urgent d0nors needed BY Columbia Asia Hospital. Contact Consultant Saeed Mohan on +917028119587. Dr.saeedmohan@consultant.com for more details.

    Regards
    Dr. Saeed Mohan
    +917028119587

    ReplyDelete
  78. Do you want to sell your k1dney for money? Are you seeking for an opportunity to sell your k1dney for money due to financial break down and you don’t know what to do, then contact us today and we shall offer you good amount for your Kidney. WhatsApp +918867413844 or email pramodtransplant7@gmail.com

    Dr Pramod
    WhatsApp +918867413844

    ReplyDelete
  79. Do you want to sell your kidney? Are you seeking for an opportunity to sell your kidney for money due to financial break down and you dont know what to do, then contact us today and we shall offer you good
    amount for your Kidney.My name is (Dr Collins ) am a Phrenologist in st andrew hospital . Our hospital is specialized in Kidney Surgery and we also deal with buying and transplantation of kidneys with a living
    an corresponding donor. If you are interested in selling or buying kidneys please dont hesitate to contact us via
    email:doctorcollins3@gmail.com OR WHATSAPP US VIA 2348108439977,

    ReplyDelete

  80. if you want to sell your k1dney for Rs 1 crore 90 Lakhs India rupees Doctor Mansi
    WhatsApp no: (+917899056482) via Email : narayanahospital619@gmail.com

    ReplyDelete


  81. BLK Super Speciality Hospital is urgently in need for kidney donors with awarded amount of ( 2 Crore 60 Lacs).
    WHATSAPP me +919971948936
    phone call : +917838503536
    Dr. Dr Mohan Jonathan
    Email: blksuperspeciality717@gmail.com

    ReplyDelete


  82. BLK Super Speciality Hospital is urgently in need for kidney donors with awarded amount of ( 2 Crore 60 Lacs).
    WHATSAPP me +919971948936
    phone call : +917838503536
    Dr. Dr Mohan Jonathan
    Email: blksuperspeciality717@gmail.com

    ReplyDelete


  83. Do you want to sell your (k1dney?) Are you looking for a genuine Hospital? We are urgently in need of (k1dney) donors at Manipal Hospital India for the sum of [1crore 20 lakhs], Contact Dr PRAMOD for more details WHATSAPP:+918867413844 EMAIL: pramodtransplant7@gmail.com

    ReplyDelete

  84. If you know you are vary serious to solve your financial problem once and for all by selling your kidney to exchange money , all donor are needed Donor A+ Blood B+ O+ , this is both male and female who are in good heath for more info ; email; sahyadrihospital12@gmail.com
    . contact no; +919100217851 my whatsapp no +919100217851

    ReplyDelete

  85. WE ARE URGENTLY IN NEED OF KIDNEY DONORS,
    WITH THE SUM OF [$650,000USD,]{3.5crore} CONTACT US
    NOW FOR MORE INFORMATION.EMail {jasothospital012@gmail.com} or
    WHATSAPP us now,(+15394444102 )
    Dr.MARK HENRY OF JASLOT HOSPITAL INDIA. I AM A
    SPECIALIST IN ORGAN SURGERY,will also buy and sell.TRANSPLANT OF ANY TYPES 0F 0RGAN

    We need your urgent responds..

    ReplyDelete
  86. We are urgently in need of kidney donor in a very good health condition for the sum of $470,000,00 and we will take properly care of the donor doling the whole process, here you can contact us via email address: ahospital661@gmail.com or phone number-+919677345881 whatsApp or call. by name Dr Donald

    ReplyDelete
  87. Do you want to sell your kidney for $800.000.00 usd. Urgent donors needed by Columbia Asia Hospital. Contact Dr. Mark on +91-9791950646. columbiaasiahospital8@gmail.com for more details.

    Best Regards:
    Dr. Mark
    Columbia Asia Hospital
    Phone:+91-9791950646
    WhatsApp: +91-9791950646

    ReplyDelete

  88. WE ARE URGENTLY IN NEED OF KIDNEY DONORS,
    WITH THE SUM OF [$650,000USD,]{3.5crore} CONTACT US
    NOW FOR MORE INFORMATION.EMail {jasothospital012@gmail.com} or
    WHATSAPP us now,(+15394444102 )
    Dr.MARK HENRY OF JASLOT HOSPITAL INDIA. I AM A
    SPECIALIST IN ORGAN SURGERY,will also buy and sell.TRANSPLANT OF ANY TYPES 0F 0RGAN

    We need your urgent responds..

    ReplyDelete
  89. Hello everyone,
    Kidney donor is urgently needed A+, B+, O+, blood group donors between the age of 20-65. We give you all the entire best attempt, we will give you honest price and best treatment for your transplant as top best medical treatment it will help your future life, kindly contact us on Whats-App Number: +27838816731,

    Best Regard

    Dr Pramod Kumar

    Whats-App Number:+27838816731

    Email:manipalhosital@gmail.com

    Yahoo-mail:manipalhosital@yahoo.com

    ReplyDelete
  90. WE ARE URGENTLY IN NEED OF KIDNEY DONORS,WITH THE SUM OF [$650,000USD,]{3.5crore}CONTACT USNOW FOR MOREINFORMATION.EMail apollohospital62@yahoo.com} orWHATSAPP us now,(+15399995727 )Dr David Ferguson OF APOLLO HOSPITAL INDIA. I AMASPECIALIST IN ORGAN SURGERY,will also buy and sell.TRANSPLANT OF ANY TYPES 0F 0RGAN We need your urgent responds..

    ReplyDelete

  91. WE ARE URGENTLY IN NEED OF KIDNEY DONORS,
    WITH THE SUM OF [$650,000USD,]{3.5crore} CONTACT US
    NOW FOR MORE INFORMATION.EMail {jasothospital012@gmail.com} or
    WHATSAPP us now,(+15394444102 )
    Dr.Arvinder singh soin OF JASLOT HOSPITAL INDIA. I AM A
    SPECIALIST IN ORGAN SURGERY,will also buy and sell.TRANSPLANT OF ANY TYPES 0F 0RGAN

    We need your urgent responds..

    ReplyDelete
  92. Greetings from Apollo Hospital India, Are you interested in selling your organ/kidney for the sum of $800,000.00 cash contact our doctor. Dr Marcus Brown' a doctor from our hospital for details,Email us via apollohospital771@gmail.com we need genuine donor,Whats App {+918892945037}or Call +919860478392 Need Genuine Donors...

    ReplyDelete

  93. Greetings from Apollo Hospital India, Are you interested in selling your organ/kidney for the sum of $800,000.00 cash contact our doctor. Dr Marcus Brown' a doctor from our hospital for details,Email us via apollohospital771@gmail.com we need genuine donor,Whats App {+918892945037}or Call +919860478392 Need Genuine Donors.

    ReplyDelete
  94. Kidney donor are needed A+, B+, O+, blood group donors between the age
    of 19 to 65.Whats-app Dr.Pramod +918867413844 or pramodtransplant7@gmail.com

    We give you all the entire best attempt

    Thank you
    DR Pramod

    ReplyDelete
  95. Do you want to donate your organ? We are here to help you with good cash to do anything you wish,in$650,000 USD 1 k1dney 2 Cr Contact us if you are interested in donating your organ. Contact Reply Below Whatsapp Number plus +15399995727 or call plus +15399995727(This ad is relevant for - Bangalore Make good amount money by selling k1dney Health Medical - , India)

    ReplyDelete
  96. Hello Everybody,
    My name is Mrs Sharon Sim. I live in Singapore and i am a happy woman today? and i told my self that any lender that rescue my family from our poor situation, i will refer any person that is looking for loan to him, he gave me happiness to me and my family, i was in need of a loan of S$250,000.00 to start my life all over as i am a single mother with 3 kids I met this honest and GOD fearing man loan lender that help me with a loan of S$250,000.00 SG. Dollar, he is a GOD fearing man, if you are in need of loan and you will pay back the loan please contact him tell him that is Mrs Sharon, that refer you to him. contact Dr Purva Pius,via email:(urgentloan22@gmail.com) Thank you.

    ReplyDelete
  97. Hi, We're looking for kidney donors We are located in India, Canada, UK, Turkey, USA, Malaysia,

    South Africa etc Very urgently. B+ve , O+ve and A+ve with India passports/ Voters card or Pan-

    card and age should be more than 18 years. Interested person's should contact us via Email:

    sunajkidneyfundation@gmail.com

    Whataspp : +917204719376

    Whataspp : +917204719376

    Whataspp : +917204719376

    sunajkidneyfundation@gmail.com

    Regard Dr Sunaj Edward

    ReplyDelete
  98. We are urgently in need of kidney donor in a very good health condition for the sum of $420,000,00 and we will take properly care of the donor doling the whole process, here you can contact us via email address: ahospital661@gmail.com or chat me on whatsApp with this number+919677345881 or call this number+917028313517. by name Dr Donald

    ReplyDelete
  99. We are urgently in need of k1dney Donors with the sum of (I crore 20 Lakhs). If anyone is willing to donate, WhatsApp no Doctor Pramod Kumar: +918867413844 Email: pramodtransplant7@gmail.com

    We will pay advance money to donor within 24hours, please help us

    Thank you
    DR Pramod Kumar

    ReplyDelete
  100. Hi, We're looking for kidney donors Very urgently. B+ve , O+ve and A+ve with India passports/ Voters card or Pan- card and age should be more than 18 years. Interested person's should contact us via EMAIL:pramodtransplant7@gmail.com WHATSAPP:+918867413844

    Thank you
    DR Pramod Kumar
    WHATSAPP:+918867413844

    ReplyDelete
  101. this is to inform the general public that healthy K1dney donors are needed from all blood groups by columbia Asia Hospital ,each donor gets $500,000.00usd that is 3crore, hurry now and contact us via email columbiaasiahospital01@gmail.com,
    you can also contact dr Robert Williams on +917026089432

    ReplyDelete
  102. do you need urgent money and want to sell your kidney,hurry now,we seek eligible donors from all blood groups in columbia asia hospital india, interested then contact via email columbiaasiahospital01@gmail.com,regards Dr Robert williams +917026089432

    ReplyDelete
  103. Urgent Kidney seller contact us now. Email address: kidneyhealthcentre@gmail.com
    We Located in India, USA, Nigeria, London, Ghana, Dubai Etc
    India WhatsApp number: +918122208392
    London WhatsApp number: +447448487049
    Email address: kidneyhealthcentre@gmail.com

    ReplyDelete
  104. We are urgently in need of kidney donors in Apollo Hospital India for the sum of $500,000.00 USD. For more details contact us via the below Email.
    E-mail: apollo.hospital101@gmail.com
    Whats-app: +917411218493

    ReplyDelete
  105. A kidney is bought for a maximum amount of 3 crore. The National foundation is currently buying healthy kidney. Global Hospital a Nephrologist in the kidney Surgery and we also deal with buying and transplantation of kidneys with a living an corresponding donor. We are located in Indian, Canada, UK, Turkey, USA, Malaysia, etc. If you are interested in selling kidney please contact us whatsApp +918929375881. Email: globalkidneyhospital@gmail.com

    ReplyDelete
  106. Welcome to Global Hospital, we have patients who are here for kidney transplant, Are you seeking for an opportunity to sell your kidney for money, amount 3crore for your Kidney. whatsApp +918929375881. Email: globalkidneyhospital@gmail.com

    ReplyDelete

  107. We are in urgent need of a kidney donor for a good amount of 12Cr (Advance money 6cr) in India, Interested person kindly Contact us now..
    DR David Jamie
    WhatsApp: +918971165321
    Email- drdavidjamie@yahoo.com

    We are in urgent need of a kidney donor for a good amount of 12Cr (Advance money 6cr) in India, Interested person kindly Contact us now..
    DR David Jamie
    WhatsApp: +918971165321
    Email- drdavidjamie@yahoo.com

    ReplyDelete

  108. We are in urgent need of a kidney donor for a good amount of 12Cr (Advance money 6cr) in India, Interested person kindly Contact us now..
    DR David Jamie
    WhatsApp: +918971165321
    Email- drdavidjamie@yahoo.com

    We are in urgent need of a kidney donor for a good amount of 12Cr (Advance money 6cr) in India, Interested person kindly Contact us now..
    DR David Jamie
    WhatsApp: +918971165321
    Email- drdavidjamie@yahoo.com



    We are in urgent need of a kidney donor for a good amount of 12Cr (Advance money 6cr) in India, Interested person kindly Contact us now..
    DR David Jamie
    WhatsApp: +918971165321
    Email- drdavidjamie@yahoo.com

    We are in urgent need of a kidney donor for a good amount of 12Cr (Advance money 6cr) in India, Interested person kindly Contact us now..
    DR David Jamie
    WhatsApp: +918971165321
    Email- drdavidjamie@yahoo.com

    ReplyDelete

  109. We are in urgent need of a kidney donor for a good amount of 12Cr (Advance money 6cr) in India, Interested person kindly Contact us now..
    DR David Jamie
    WhatsApp: +918971165321
    Email- drdavidjamie@yahoo.com

    We are in urgent need of a kidney donor for a good amount of 12Cr (Advance money 6cr) in India, Interested person kindly Contact us now..
    DR David Jamie
    WhatsApp: +918971165321
    Email- drdavidjamie@yahoo.com



    We are in urgent need of a kidney donor for a good amount of 12Cr (Advance money 6cr) in India, Interested person kindly Contact us now..
    DR David Jamie
    WhatsApp: +918971165321
    Email- drdavidjamie@yahoo.com

    We are in urgent need of a kidney donor for a good amount of 12Cr (Advance money 6cr) in India, Interested person kindly Contact us now..
    DR David Jamie
    WhatsApp: +918971165321
    Email- drdavidjamie@yahoo.com

    ReplyDelete
  110. Sell/sale your kidney urgently in India Urgently for a handsome amount in new delhi, Bangalore, Mumbai,Andhra Pradesh etc (DR Vikram ) WE NEED ONLY 100% SERIOUS KIDNEY DONORS B+ve , O+ve and A+ve AND WE WILL OFFER YOU A TOTAL AMOUNT FOR YOUR 1 KIDNEY DONATION IN INDIA RUPEE 4 CORE ADVANCE 5CORE AND BALANCE AFTER SURGERY 2CORE INCLUDING FREE FLIGHT TICKET ,VISA AND MEDICAL TREATMENT IS OUR RESPONSIBILITY
    CONTACT US NOW TO SELL YOUR ORGAN FOR MONEY
    .WHAT ~supp~number +12899600524 email
    apollohospital62@yahoo.com}

    ReplyDelete
  111. urgent kidney donors are needed by columbia asia hospital india
    each donor gets 5crore,hurry whatsapp +917291847978

    ReplyDelete
  112. Sell your Kidney urgently for the sum of $450,000.00, Contact Dr Henry on WhatsApp: +919513483621 for more info..



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    ReplyDelete
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  127. Best Offer for Urgent Kidney is bought for a maximum amount of $800,000.00USD. B+ve , O+ve and A+ve is match is Urgently Needed in Fortis hospital India anyone that is willing to sale His/Her one kidney should contact us immediately and will offer you all the Best MONEY and MEDICATION. We are located in India, Canada, UK, USA, Malaysia, South Africa etc. We pay your Advance Money first before Surgery, Contact us now, via email: jaslokhospital20@gmail.com} or WHATSAPP US now,(+17013531601

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  128. Hi, We're looking for kidney donors We are located in Indian, Canada, UK, Turkey, USA, Malaysia, South Africa,Jordan etc Very urgently. B+ve , O+ve and A+ve We pay $350,000.00 per kidney age should be more than 19 years. Interested person's should contact us via Email: sunajkidneyfundation@gmail.com
    Dr Sunaj

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