A Well-Documented Case of Chronic Renal Failure Due to Misplacement of the Transplanted Kidney

There may be many reasons for the malfunctioning of transplanted organs. Percutaneous biopsy can easily be undertaken to give greater specificity to possible immunological causes of rejection. Acute venous or arterial thrombosis frequently leads to graft loss after a short period of anuria which justifies a diagnosis of vascular occlusion. This causes graft dysfunction or loss in 3.5% to 12.5% of cases. Progressive malperfusion with rising or stabilized serum creatinine at higher levels demands aggressive imaging investigation to exclude possible aneurismal formation, progressive stenosis, or vascular fistula. This paper reports a rare case of kinking of the main artery due to organ rotation occurring after a simultaneous pancreas-kidney transplant.