A 55 year old female who had undergone renal transplantation 3 months earlier presented with macroscopic hematuria and increased urinary frequency for 3 days. She was on mmf 600/Tac7mg/pred12.5mg/septran SS 1OD. Stent removal had been done at one month and there was no rexploration/rejection.
Labs showed a leucocyte count of 7700 cells/ul (N76/L16), Cr 1.1, Urine routine - pus cells 10 and RBCs - plenty. Urine culture was sterile.
CT KUB of transplant kidney showed a patchy area of hyperenhancement in upper pole, thickened pelvi-calyceal system with urothelial enhancement.
Figure 1: CT KUB
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