Abstract
Renal transplantation using living donors has superior outcomes in comparison to deceased donor transplantation and results in immediate allograft function in a majority of cases. Rarely may allograft be nonfunctional from the beginning, or anuria is noted after a period of good urine output. Surgical causes for anuria should be high on the differential diagnosis in immediate-to-early posttransplant period, especially in an unsensitized recipient. We present two unusual causes of early onset anuria after living related renal transplantation where early surgical reexploration salvaged renal allografts with excellent long term outcomes.
Highlights
Graft function following a living related renal allograft transplant is expected with present surgical expertise, short warm and cold ischemia time
Sluggish graft function or delayed graft function is more common with deceased donor transplantation
May tight closure of the abdomen lead to sudden drop in urine output [3]
Summary
Graft function following a living related renal allograft transplant is expected with present surgical expertise, short warm and cold ischemia time. Sudden anuria following immediate graft function and adequate urine output raises many questions. Possibility of kinking of renal artery, vascular thrombosis, and ureteric obstruction and a possibility of accelerated/hyper acute rejection are to be considered [1]. Often there is a dilemma as when to reexplore. We are presenting two case reports wherein immediate recognition of anuria and early exploration saved the graft leading to normalization of allograft function
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