Nick Marsh: post-transplant renal vein thrombosis and embolectomy
Nick collapses five weeks after kidney transplant; repeat ultrasound finds renal vein thrombosis and surgery saves the graft.
In Plain English
A clot blocks drainage from Nick's transplanted kidney, and urgent surgery removes it before the graft is lost.
What Happened in the Episode
Meredith's repeat ultrasound identifies the renal vein clot after inconclusive labs.
Clinical Concept
Transplant renal vein thrombosis with surgical graft salvage.
What ER Teams Would Evaluate
A real team would assess graft function, urine output, Doppler flow, rejection, obstruction, infection, medication levels, clot risk, and operative options.
Treatment and Management Overview
Episode-supported care includes ultrasound, labs, repeat ultrasound, embolectomy, and post-op reassurance that the kidney can be kept.
What TV Gets Right
The episode shows reassessment after inconclusive testing rather than accepting the first workup.
What TV Compresses
The episode does not show Doppler details, creatinine trend, rejection workup, anticoagulation, or long-term graft follow-up.
Sources and Further Reading
- iDRief catalog page
- Grey's Anatomy Universe Wiki - One Day Like This
- One Day Like This transcript
- Grey's Anatomy Universe Wiki - One Day Like ThisEPISODE
Supports: Supports Nick's collapse, renal vein clot, embolectomy, and graft-salvage outcome.
- One Day Like This transcriptEPISODE
Supports: Supports scene context for Nick's transplant complication.
- NCBI Bookshelf - Renal Vein ThrombosisTIER 3
Supports: Supports general renal vein thrombosis context.
- PMC - Post Transplant Renal Vein ThrombosisTIER 3
Supports: Supports general transplant renal vein thrombosis and graft-salvage context.
- iDRief catalog pageEPISODE
Supports: Supports episode-level evidence for this curated case.