A 32-year-old male patien...

A 32-year-old male patient underwent a cadaveric renal transplantation for end-stage renal disease (ESRD) accompanied by hypertension. Intraoperatively, the renal artery showed good pulsations with triphasic flow according to Doppler findings, although a reduced flow was observed in segmental arteries. Postoperatively, the patient experienced a lack of urine output for 12 hours. Dialysis was initiated on postoperative day 0 due to persistent hypertension. Over the course of the initial two weeks following surgery, there was a gradual decline in creatinine levels. A CT angiography revealed luminal stenosis ranging from 80% to 90% at the anastomotic site, accompanied by a lower pole infarct. Subsequent transplant artery angioplasty with stenting led to a rapid reduction in creatinine levels, an improvement in urine output, and the normalization of blood pressure. The patient showed satisfactory progress during the last visit and had adequate urine output and Nadir creatinine of 1.2 mg/dl.