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Date | Authors | Patient | Transplant indication | Ischemic time | Ultrasound findings | Time to reintervention | Proposed mechanism | Post-op course |
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2009 | Ozmen, et al. 2013 | 44 yo M | Sepsis and renal failure—received kidney from a living related donor | Not reported, living donor transplant | US showed rotation of renal hilum and Doppler with stenotic flow | POD 5 | Malposition of graft kidney | Recovered well |
2013 | Winter et al. | 48 yo M | Hypertension and diabetes mellitus—received a deceased donor’s kidney | 8 hours and 46 minutes of cold ischemia time | US with absent main renal vein flow and reversed diastolic arterial flow | 4 hours | Raised body habitus and/or error in surgical technique | Return of adequate UOP after 1 week, discharged at POD 30 |
2014 | Sosin et al. | 42 yo M | Glomerulonephritis—received DCDK | 4 hours of cold ischemia time | US at 11 hours post-op: tardus parvus and decreased resistive index | 11 hours | Large potential space in iliac fossa, lax abdominal wall | Oliguric, required dialysis, required antithymocyte therapy for acute rejection on POD6, recovered kidney function, and discharged POD8 |
2018 | Present case | 69 yo F | ADPKD—received DBDK | 12 hours and 52 minutes of cold ischemia time | US immediately post-transplant and 18 hours post-transplant | 30 hours | Pressure form native polycystic kidney | As described: ureteral stent migration, hematoma, DVT, urosepsis |
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