One week after receiving a cadaver renal allograft, the recipient remains oliguric and dialysis dependent. Ultrasonography reveals a larger perigraft fluid collection. Your next step in management includes:
A. No further investigations (since perigraft collections are fairly common after renal transplantation).
B. Aspiration of the perigraft fluid collection and instillation of a fibrosis-inducing agent to obliterate the dead space.
C. Angiography for localization of a bleeding site in the renal allograft.
D. Aspiration of the perigraft fluid collection for chemical analysis.
Answer:D
One week after receiving a cadaver renal allograft, the recipient remains oliguric and dialysis dependent. Ultrasonography reveals a larger perigraft fluid collection. Your next step in management includes:
A. No further investigations (since perigraft collections are fairly common after renal transplantation). B. Aspiration of the perigraft fluid collection and instillation of a fibrosis-inducing agent to obliterate the dead space. C. Angiography for localization of a bleeding site in the renal allograft. D. Aspiration of the perigraft fluid collection for chemical analysis.