PMC5941725_01
(a) Preprocedure renal transplant ultrasound demonstrating subcapsular hematoma (arrow). (b) Arcuate waveforms from the inferior pole with RI = 1.0 prior to operative decompression. (c) Renal transplant ultrasound after capsulotomy and clot evacuation, demonstrating restoration of inferior pole perfusion with (d) normalization of arcuate artery RI to 0.7.
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fig1
A renal transplant ultrasound was obtained, which demonstrated a subcapsular hematoma (Figure 1(a)) in addition to decreased color Doppler flow at the inferior pole of the transplant kidney. An intraoperative ultrasound (Figure 1(b)) confirmed interval improvement in color flow at the superior pole and periphery of the kidney as compared to the preoperative exam.
Creatinine trend in perioperative setting.
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fig2
The patient recovered well and showed immediate improvement in his creatinine (Figure 2); he was discharged on postoperative day 3 after removal of his drain and completion of three total doses of IV thymoglobulin for his rejection.