Polyuria after Renal Transplantation: A Case Report and Review of Literature

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Author Info

Neranga Samarasinghe Joel Arudchelvam Ruwan Ranaweera Mariathas Priatharshan

Corresponding Author

Joel Arudchelvam
Consultant Vascular and Transplant Surgeon, National Hospital of Sri Lanka, Colombo, Sri Lanka

A B S T R A C T

Polyuria is defined as a urine output (UOP) of more than 3 litres per day in adults or 2 l/m2/day in children. Polyuria is common following live donor kidney transplantation (LDKT). This case report and review describes a 32-year-old male with chronic kidney disease who underwent LDKT. The donor was his brother. He had polyuria in the postoperative period with the maximum urine flow rate of 3700 ml/hr and the first 24-hour urine output of 42 litres. He was managed with intravenous crystalloid solutions guided by the central venous pressure and the mean arterial pressure. Electrolytes were replaced with potassium chloride, calcium gluconate and magnesium sulfate. He made an uneventful recovery. The Polyuria improved without any pharmacological interventions. Therefore, guided fluid and electrolyte administration is the key to the successful management of post-transplant polyuria.

Article Info

Article Type

Case Report and Review of the Literature

Publication history

Received: Sat 01, May 2021
Accepted: Tue 18, May 2021
Published: Wed 02, Jun 2021

Copyright

© 2023 Joel Arudchelvam. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2021.06.01