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Infants are considered difficult candidates for transplantation due to a multitude of factors. Hence, many renal transplant units delay renal transplantation until the child reaches a reasonable size (10 kg) and keep the child on dialysis until then. However, in Sri Lanka, due to lack of paediatric dialysis facilities, we are compelled to transplant children early. According to our knowledge this is the smallest child to undergo a successful renal transplant in the South Asian Region.

A child weighing 8.5 kg with bilateral congenital dysplastic kidneys and end stage renal failure who has undergone a successful renal transplant