Early postoperative anuria with severe systemic hypertension occurring
after a period of initial renal transplant diuresis evokes multiple d
iagnoses. Hyperacute rejection is rarely seen with rigorous routine pr
etransplant lymphocytotoxic cross match testing. It is of great import
ance to detect any nonimmunologic cause of dysfunction that can be rem
edied, such as delayed tubular necrosis or physical obstruction. The a
uthors present the imaging findings in a case of severe renal impairme
nt caused by a tense peritransplant hematoma. The Page kidney phenomen
on is proposed as a curable mechanism of this early allograft dysfunct
ion.