Immediate page kidney during transplantation: A case report and literature review

Abstract

Page kidney is a rare but critical post-transplant complication caused by subcapsular hematoma, leading to graft hypoperfusion and dysfunction. We report a 26-year-old male who developed immediate Page kidney intraoperatively, presenting with elevated resistive indices and reversed diastolic flow. Timely diagnosis using Doppler ultrasound enabled urgent re-exploration and hematoma evacuation, successfully restoring graft function. A literature review of 40 cases highlights that early identification and prompt surgical intervention are critical to favorable outcomes. These findings reinforce the need for heightened clinical vigilance, prompt imaging, and timely surgical management to preserve graft viability and patient outcomes.