Renal vein thrombosis usually occurs in the early postoperative period. It can be due to kinking of vessels or due to stenosis at the anastomotic site. Hypotension, acute rejection, and hypercoagulable state are other causes. If renal vein thrombosis occurs intra-operatively, allograft will appear swollen and cyanotic. Thrombectomy and revision of anstomosis can salvage the kidney. In the case of delayed thrombosis, thrombolytic therapy with intravenous anti-coagulation maybe of help.9 The usual outcome of renal vein thrombosis is infarction, and a transplant nephrectomy is usually performed to prevent infection.
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