TY - JOUR
AR - SCR-2021-6-101
TI - Polyuria after Renal Transplantation: A Case Report and Review of Literature
AU - Neranga , Samarasinghe
AU - Joel , Arudchelvam
AU - Ruwan , Ranaweera
AU - Mariathas , Priatharshan
JO - Surgical Case Reports
PY - 2021
DA - Wed 02, Jun 2021
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2021.06.01
UR - https://www.sciencerepository.org/polyuria-after-renal-transplantation-a-case-report-and-review_SCR-2021-6-101 
KW - Polyuria, post renal transplantation, fluid and electrolyte management, electrolyte imbalance, renal physiology
AB - 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.