Post renal transplant segmental allograft infarction from multiple vessel anastomosis

Abstract

Segmental allograft infarction is a poorly characterized complication following renal transplantation. In contrast to total graft thrombosis, segmental infarction is uncommonly recognized. Focal perfusion defects following renal transplantation have been the subject of only a few previous reports(1–3). The incidence in these studies has varied from 4–42%, reflecting heterogeneity in the patient populations and small study number(1 – 3). Although an association with rejection, prolonged ischemia, and multiple renal arteries is reported, the condition remains poorly defined. There are few case reports of delayed graft function as a result of vascular anastomosis in Nigeria(4). This is a case of a 41 year old Police Officer with post-transplant segmental infarction following multiple vessel anastomosis.