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November 16, 2021

Diagnose This (November 15, 2021)

medullary infarct in transplant kidney

This patient received a kidney transplant 10 days prior and is currently anuric, with delayed graft function. What is your diagnosis?

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The image shows a medullary infarct, which in a recent transplant setting, could be related to diminished blood flow secondary to vascular anastomosis issues, acute vascular rejection, thrombotic microangiopathy, among other causes.