RENAL CPC WIG 24.01.02RENAL CPC WIG 24.01.02• P02.096• 44 year old male, ESRD due to reflux, first

cadaveric renal transplant 1999 with good function

• Recent moderately severe hypertension, treated with ACE inhibitor

• Sudden loss of function 03.01.02, anuric, sCr increased from 170 to 440umol/l, febrile, perfusion scan showed renal artery occlusion

• Tx nephrectomy, 04.01.02

Tx Nephrectomy(P02.096)ATN

Tx Nephrectomy (P02.096)Multifocal cortical infarction

Tx Nephrectomy (P02.096)Multifocal cortical infarction

RENAL CPC WIG 24.01.02RENAL CPC WIG 24.01.02• P02.096• Multifocal cortical infarction• Arterial thromboses• Polymorph-rich arteritis (?

rejection ??other cause)• ATN• Banff scores:

g0,i1,t0,v3,ah0,cg0,mm0,ci1,ct1,cv1