PMC4182006_01
PMC4182006_02
Angio-computed tomography of the kidneys of the 2nd donor: on both sides single strong renal artery without signs of kidney pathologies.
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fig1
Both kidneys had a normal anatomy with each a single artery and vein (Figure 1).
Duplex ultrasonography of the transplanted kidney 3 hs after transplantation; free perfusion of vein and artery, peripheral perfusion deficit, high resistance indices, and prominent pyramids are characteristic for acute renal failure.
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fig2
An immediately performed duplex scan revealed a normal perfusion of the renal artery and vein, but there were signs of acute renal failure present (Figure 2).
Macroscopic appearance of the rejected kidney during relaparotomy.
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During relaparotomy the transplanted kidney impressed edematous, flaccid, and cyanotic (Figure 3).
Attachment of C4d along the peritubular capillaries.
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fig4
Fluorescent study did not show any immunoglobulin or complement, while there was a diffuse attachment of C4d along the peritubular capillaries (Figure 4).