Early post transplant oliguria, hypertension and hyperkalemia?
By Dr Kashif Shaikh on Tuesday, 20 August 2013
Posted in General Nephrology Questions
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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?
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
UKidney Staff
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11 years ago
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Hello,

Any updates on this case?

Dr. Jordan Weinsten
UKidney Staff
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11 years ago
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