Rare Association of Donor-specific Antibody-negative Antibody-mediated Rejection with Segmental Thrombosis and Infarction

Abstract

Arterial thrombosis occurs in <1% of kidney transplant patients. Most cases arise early in the postoperative period following technical problems. However, it can be delayed until after the 1st week. In contrast to total graft thrombosis, segmental thrombosis is uncommonly recognized. Although some reports suggest acute rejection as the cause of graft thrombosis, segmental thrombosis with infarction secondary to rejection has not been reported. Here, we present a case of donor-specific antibody-negative antibody-mediated rejection associated with segmental thrombosis and infarction.