Kidney Transplant Meeting

Date: 2072-02-11
RECIPIENT
Ram Devi Dangol, 43/F
Sister Of Donor
O+ve

DONOR
Mahendra Prajapati,
44/M
Brother of Recipient
O+ve

Diagnosed as CKD on evaluation for

RECIPIENT

swelling of limbs, found to have HTN

DONOR

and and renal impairment 11 years

ago; S. Cr. 4.5 on 2071/7 After
episode of pneumonia on 2071/09,
renal damage rapidly progressed to
ESRD

Access: Lt. B.C. AVF

Femoral cannulation + and IJV

cannulation

LSCS on 2057,

MHD Since 2071 Falgun, twice a

week in NKC

24 hours U.O. 600ml/day; Dry

Wt.48kg

Total BT 4, on 2071 Magh

No known disease yet

RECIPIENT

DONOR

BP: 130/80mmHg

BP: 110/70 mmHg

Pulse: 84/min

Pulse: 80/min

J- A- C- C-O- L-

Scars -

Chest: NVBS

J- A- C- C- O- L-

CVS: S1 + S2 M PA: Soft, non tender,

no free fluid

Chest: NVBS
CVS: S1 + S2 M PA: Soft, non tender

family pedigree

DONO
R

RECIPIE
NT

Inter-Departmental Consultations

DONOR

RECIPIENT
CARDIAC

PSYCHIATRIC

GYNAE

SURGICAL

CARDIAC

PSYCHIATRIC

LEGAL

SURGICAL

PAC

LEGAL

DENTAL

PAC

Vaccine completed

Reports of Recipient

Hb

12.5

TLC

8740

N
L

RBS

84

Urea

180.8

Creat

8.4

U Acid

8.5

Ca

10.5

6.3

Alb

2.8

Alk Ph

iPTH

Bil

GPT

Plat

3250
00

BT

330

CT

630

PT

11

HIV

NR

HBsAg

NR

HCV

NR

FT3

3.3

FT4

0.97

TSH

4.9

IRON
248.0

95

TIBC

278

FER

>100
0
-ve

Chol T

3.9

Sputum
AFB

Chol
HDL

1.0

Urine

Chol
LDL

2.1

Chol TG

1.6

Alb 3+
Sug Nil
WBC 2-3

CMV
IgG

+ve

PAP

-ve

CXR

Normal

ECG

NSR, LVH

ECHO

Mild conc.
LVH
Gr. II LVDD
LVEF: 60%

USG
RK 7.5
LK 8.0

Ram Devi Dangol

Iliac Vessels Doppler:

Normal Iliofemoral Doppler Study

Reports of Donor
FBS

5.0

PPBS

5.4

Urea

2.5

Creat

84.0

U Acid

256

Ca

1.9

M 2

Alb

5.1

E 3

Alk Ph

155.0

Hb

15.5

TLC

7130

N 63
L 32

HIV

NR

HBsAg

NR

HCV

NR

FT3

6.0

FT4

16.0

TSH

2.5

B 0
1890
00

Bil

BT

430

GPT

23

Sputum
AFB

CT

60

Chol T

3.8

Urine

PT

11

Chol
HDL

1.0

Chol

1.8

Plat

T08
D2

CMV
IgG

+ve

UTP

0.02gm/day

CXR

Normal

ECG

NSR

ECHO

Normal
LVEF: 60%

-ve
USG

Alb Nil

RK 10.1

Sug Nil

LK 10.3

WBC 0-2

Mahendra Prajapati
Renal CT Angiogram
Normal CT Angiogram

Bilateral Single Renal Arteries and early

branching on right side

Normal CT renal venogram

Single left renal vein and single main & single

accessory vein on Right side

Bilateral simple cortical cysts largest 6.3*6 on right,

5.5*5 lt
Normal CT IVU

99M

TC-DTPA DIURETIC RENOGRAM

LEFT KIDNEY

RIGHT KIDNEY

Differential Function

50

50

GFR (ml/min)

44.5

44.4

Normalised GFR: 89.5ml/min

Impression:
Normal Functioning Both Kidneys with non-obstructive clearance

D: Mahendra / R: Ram Devi

HLA

11XX

33XX

11XX

33XX

15XX

15XX

15XX

15XX

DRB1

12XX

12XX

12XX

12XX

Mismatch Level: 0/6

D: Mahendra / R: Ram Devi

LYMPHOCYTE CROSS MATCH TEST
DONE ON 2015-05-11
T CELL XM
B CELL XM

NEG
NEG

Current Treatment
DONOR

RECIPIENT
HD twice a week in NKC
Inj. Epofit 4000 units
weekly/stopped
Tab Fosbait 250mg bd
Tab Amlodipine 5 mg od
Tab Febuxostat 40 mg od
Tab Tor 40 mg bd
Tab Ifol 1 tab bd

None

Remarks
DONOR

RECIPIENT

Optimised

Fit

THANKYOU