31-year-old female one day post renal and pancreatic transplant with anuria and elevated glucose. RENAL TRANSPLANT: Left iliac fossa transplantLOCATION: Left iliac fossaPERITRANSPLANT TISSUES: No significant abnormality notedKIDNEY: No significant abnormality notedCOLLECTING SYSTEM/URETER: No significant abnormality notedURINARY BLADDER: No significant abnormality notedVASCULAR DOPPLER DATA: Color and spectral Doppler were performed on inflow and outflow vessels Peak systolic velocity in the adjacent iliac artery of 152 cm/s. Iliac vein is patent.Peak systolic velocity at the level of the anastomosis of 341 cm/s in the transplant renal artery and resistive index of 0.68.Parenchymal tracings demonstrate an average resistive index of 0.6. No parvus to this waveform.Transplant renal vein is patent.OTHER: No significant abnormality noted
Elevated anastomotic velocity in the transplant renal artery. Given recent surgery, this is most likely due to anastomotic edema which typically resolves.