 This case report demonstrates how a rare complication of renal transplantation, acute renal artery thrombosis, can be caused by distal renal artery stenosis. The author suggests that renal artery thrombosis should be considered as a possible diagnosis when there is a delay in recovery from renal transplantation. This article was authored by Mohammed Kazim Falazada, Rajini Kont Yadaveli I, Ajay Kumar and others.