Perirenal transplant haematoma
Falling Hb D2 post renal transplant.
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Large haematoma lies anteriorly to the right iliac fossa transplant kidney and extends into the pelvis. RIF transplant kidney JJ stent and drain tube noted. Post surgical changes are noted, along with a small right rectus sheath haematoma. Small volume of intraperitoneal free fluid.
Left iliac fossa transplant kidney with a cyst at the upper pole. Innumerable cysts on both native kidneys. Small bilateral pleural effusions with associated lower lobe atelectasis.
Small perirenal transplant haematomas are common but larger haematomas less so. Often their size is under estimated on ultrasound.