What question did this study set out to answer?

To document the challenges and solutions associated with fourth renal transplant surgery in a patient with a history of IgA nephropathy.

April 1, 2026Open Access

Fourth Renal Transplant in a Single Patient – Challenges and Solutions

Key Points

To document the challenges and solutions associated with fourth renal transplant surgery in a patient with a history of IgA nephropathy.
Case report of a 33-year-old male patient
Surgical intervention for fourth renal transplant
Management of complications including vascular issues and hypotension
Patient experienced dense adhesions and vascular atherosclerosis during surgery
Post-surgery complications included myocardial infarction and gastrointestinal perforation
Despite complications, patient showed stable graft function and good overall recovery

Abstract

We report India’s first documented case of a fourth renal transplant in a 33-year-old male with recurrent Immunoglobulin A (IgA) nephropathy. Surgery was complicated by dense adhesions, vascular atherosclerosis, and postoperative hypotension. He later developed MI and gastrointestinal perforation requiring laparotomy and right hemicolectomy. Despite challenges, the patient recovered well with stable graft function, highlighting the feasibility of repeat transplants.

Fourth Renal Transplant in a Single Patient – Challenges and Solutions

Key Points

Abstract

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