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RECIPIENT

• Ram Devi Dangol, 43/F

• Sister Of Donor

• O+ve

DONOR

•

Mahendra Prajapati,44/M

• Brother of Reipient

• O+ve

!idne" #ransplant Meeting

Date: 2072-02-11

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RECIPIENT 

s&elling of lim's, fo%nd to have (#)

and and renal impairment ** "ears

ago S $r 4- on .0*/0 1fter

episode of pne%monia on .0*/2,

renal damage rapidl" progressed to

SRD

• 1ess 5t B$ 16F

• Femoral ann%lation + and 786

ann%lation 9

• 5S$S on .-0,

•

M(D Sine .0* Falg%n, t&ie a&ee: in )!$

• .4 ho%rs ;O <ml/da" Dr"

=t4>:g

•  #otal B# 4?, on .0* Magh

DONOR

• )o :no&n disease "et

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RECIPIENT

• BP *3/>mm(g

• P%lse >4/min

•

 8@ 1@ $@ $@O@ 5@• $hest )6BS

• $6S S* + S. M@

• P1 Soft, non tender,

no free A%id

DONOR

• BP **/0 mm(g

• P%lse >/min

• Sars @

•  8@ 1@ $@ $@ O@ 5@

• $hest )6BS

•

$6S S* + S. M@

• P1 Soft, non tender

7/23/2019 Ram Devi Dangol

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famil" pedigree

DONOR

RECIPIENT

7/23/2019 Ram Devi Dangol

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Inter-Departmental Consultations

R$7P7)#

• $1RD71$

• PSC$(71#R7$

•

C)1 • S;R7$15

• 515

• P1$

• D)#15

• 6aine ompleted

DO)OR

•  $1RD71$

• PSC$(71#R7$

• S;R7$15

• 515

• P1$

7/23/2019 Ram Devi Dangol

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Reports of Reipient

(' *.-

 #5$ >04

)

5

M

B

Plat 3.-

B# 3E3

$# <E3

P# **

RBS >4

;rea *>>

$reat >4; 1id >-

$a *-

P <3

1l' .>

1l: Ph

iP#( .4>

Bil

P#

$hol # 32

$hol(D5

*

$hol5D5

.*

$hol # *<

(76 )R

(Bs1g )R

($6 )R

F#3 33

F#4 20

 #S( 42 7RO) 2-

 #7B$ .0>

FR G*

Sp%t%m1FB

@ve

;rine

1l' 3+

S%g )il

=B$ .@3

$M6

7g

+ve

P1P @ve

 $HR )ormal

$ )SR, 56(

$(O Mild on56(

r 77 56DD56F <I

;S

R! 0-5! >

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 Ram Devi Dangol

Iliac Vessels Doppler:

)ormal 7liofemoral Doppler St%d"

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Reports of Donor

(' *--

 #5$ 0*3

) <3

5 3.M .

3

B

Plat *>2

B# 4E3

$# <E

P# **

FBS -

PPBS -4

;rea .-$reat >4

; 1id .-<

$a *2

1l' -*

1l: Ph *--

Bil #>

D.P# .3

$hol # 3>

$hol(D5

*

$hol *>

(76 )R

(Bs1g )R

($6 )R

F#3 <

F#4 *<

 #S( .-

Sp%t%m1FB

@ve

;rine

1l' )il

S%g )il=B$ @.

$M67g +ve

;#P .gm/da"

 

$HR )ormal

$ )SR

$(O )ormal

56F <I

;S

R! **

5! *3

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 Mahendra Prajapati

Renal $# 1ngiogram)ormal $# 1ngiogram

• Bilateral Single Renal 1rteries and earl"

'ranhing on right side

)ormal $# renal venogram• Single left renal vein and single main K single

aessor" vein on Right side

Bilateral simple ortial "sts largest <3L< on right,

--L- lt

)ormal $# 76;

7/23/2019 Ram Devi Dangol

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22M #$@D#P1 D7;R#7$ R)OR1M

LEFT KIDNEY RIGT KIDNEY 

Dierential F%ntion - -

FR Nml/min 44- 444

)ormalised FR >2-ml/min

7mpression)ormal F%ntioning Both !idne"s &ith non@o'str%tive learane

7/23/2019 Ram Devi Dangol

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(51 R D

1 **HH 33HH **HH 33HH

B *-HH *-HH *-HH *-HH

DRB* *.HH *.HH *.HH *.HH

D Mahendra / R Ram Devi

!ismatc" Le#el: $%&

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• 5CMP(O$C# $ROSS M1#$( #S#

 – DO) O) .*-@-@**• # $55 HM )

• B $55 HM )

D Mahendra / R Ram Devi

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$%rrent #reatment

R$7P7)#

• (D t&ie a &ee: in )!$

• 7nj pot 4 %nits

&ee:l"/stopped•  #a' Fos'ait .-mg 'd

•  #a' 1mlodipine - mg od

•  #a' Fe'%Jostat 4 mg od

•  #a' #or 4 mg 'd

•  #a' 7fol * ta' 'd

DO)OR

• )one

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Remar:s

R$7P7)#

Optimised

DO)OR

Fit

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T'NKYO(