The authors present a case of delayed allograft renal vein thrombosis associated with compression from a perirenal transplant lymphocele. Realtime and Doppler ultrasound diagnosed thrombus within an enlarged renal transplant vein, high vascular impedance with absent venous signals, and a peritransplant lymphocele. The graft function was restored following percutaneous drainage of the lymphocele and anticoagulation therapy
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