WCN25-2759 INCIDENCE, RISK FACTORS AND OUTCOMES OF AKI AMONG PATIENTS IN A TERTIARY HOSPITAL IN SOUTHEAST NIGERIA

Conclusions: To our knowledge, these represent the first reports of renal allograft congestive nephropathy resulting from iatrogenic perioperative hypervolemia producing delayed graft function in new renal allografts.Our report calls for further study.The serum creatinine trajectory supports the speculation that both the newly transplanted renal allografts were simultaneously negatively impacted by congestive nephropathy.The response of falling creatinine down to 8.1 at last testing supports this hypothesis.Further investigation is warranted.We are putting together a series of similar presentations post-transplantation to make a very strong case for the existence of this newly previously unrecognized syndrome.We would advocate for a more nuanced and balanced approach to the perioperative use of intravenous fluid therapy posttransplantation.I have no potential conflict of interest to disclose.I did not use generative AI and AI-assisted technologies in the writing process.