case_images: PMC4182006_01
case_images: PMC4182006_02
case_images: Angio-computed tomography of the kidneys of the 2nd donor: on both sides single strong renal artery without signs of kidney pathologies.
case_images: CRIM2014-613641.001.jpg
case_images: PMC4182006_02_CRIM2014-613641.001.jpg
case_images: fig1
case_images: Both kidneys had a normal anatomy with each a single artery and vein (Figure 1).
case_images: 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.
case_images: CRIM2014-613641.002.jpg
case_images: PMC4182006_02_CRIM2014-613641.002.jpg
case_images: fig2
case_images: 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).
case_images: Macroscopic appearance of the rejected kidney during relaparotomy.
case_images: CRIM2014-613641.003.jpg
case_images: PMC4182006_02_CRIM2014-613641.003.jpg
case_images: fig3
case_images: During relaparotomy the transplanted kidney impressed edematous, flaccid, and cyanotic (Figure 3).
case_images: Attachment of C4d along the peritubular capillaries.
case_images: CRIM2014-613641.004.jpg
case_images: PMC4182006_02_CRIM2014-613641.004.jpg
case_images: fig4
case_images: Fluorescent study did not show any immunoglobulin or complement, while there was a diffuse attachment of C4d along the peritubular capillaries (Figure 4).