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  1. Dr Kashif Shaikh
  2. General Nephrology Questions
  3. Tuesday, 20 August 2013
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A middle age male known case of ESKD secondary to bilateral shrunken kidneys on maintenance hemodialysis for 1 year, Live related transplant was done , post operatively his urine output was 50ml/min, n his blood pressure was high 180/110, for that he was given i/v labetalol in fusion and also his potassium was high (6.4), without any ECG changes. What will be the possibilities? Hyperacute rejection?
  Karachi, Pakistan
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Responses (2)
Accepted Answer Pending Moderation
Hello,

Any updates on this case?

Dr. Jordan Weinsten
  1. more than a month ago
  2. General Nephrology Questions
  3. # 1
Accepted Answer Pending Moderation
Hello,

Delayed graft function is unusual following live donor transplantation. Rejection is always a possibility of course, as are problems with the anastomosis, either at the vascular or ureteric levels. Transplant imaging as well a consideration of a renal biopsy would be important; it goes without saying that the usual differential diagnosis for postoperative AKI would apply as well.

Please update us as you learn more.

Dr. Jordan Weinstein
  1. more than a month ago
  2. General Nephrology Questions
  3. # 2
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