PAGE KIDNEY PHENOMENON IN ALLOGRAFT TRANSPLANT

Early postoperative anuria with severe systemic hypertension occurring after a period of initial renal transplant diuresis evokes multiple diagnoses. Hyperacute rejection is rarely seen with rigorous routine pretransplant lymphocytotoxic cross match testing. It is of great importance to detect any nonimmunologic cause of dysfunction that can be remedied, such as delayed tubular necrosis or physical obstruction. The authors present the imaging findings in a case of severe renal impairment caused by a tense peritransplant hematoma. The Page kidney phenomenon is proposed as a curable mechanism of this early allograft dysfunction.