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FIGURE 112-35

Kidney transplant recipient who was taken back to the operating room in the immediate post-operative period to address lack of renal flow by Duplex Doppler ultrasound evaluation. A peri-transplant hematoma had also been identified.

FIGURE 112-36

Initial evacuation of the hematoma.

FIGURE 112-37

The non-viable transplant kidney exhibits parenchymal rupture (arrow)

FIGURE 112-38

Further inspection shows multiple ruptures (arrows). Note that there is no bleeding from the sites of parenchymal rupture as a result of the complete thrombosis of the organ.

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