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Acta clinica Croatica, Vol. 62. No. Supplement 2, 2023.

Book review

https://doi.org/10.20471/acc.2023.62.s2.18

Flexible Ureterorenoscopy and Laser Lithotripsy in a Patient with a Stone in the Transplanted Kidney: A Case Report

Marjan Marić orcid id orcid.org/0000-0002-5002-3492 ; Department of Urology, Zagreb University Hospital Center, Zagreb, Croatia *
Tomislav Kuliš orcid id orcid.org/0000-0002-0895-5691 ; Department of Urology, Zagreb University Hospital Center, Zagreb, Croatia; University of Zagreb, School of Medicine, Zagreb, Croatia
Luka Penezić ; Department of Urology, Zagreb University Hospital Center, Zagreb, Croatia
Vedran Andrijašević orcid id orcid.org/0009-0000-2637-4666 ; Department of Urology, Zagreb University Hospital Center, Zagreb, Croatia
Ivica Mokos ; Department of Urology, Zagreb University Hospital Center, Zagreb, Croatia
Željko Kaštelan ; Department of Urology, Zagreb University Hospital Center, Zagreb, Croatia; University of Zagreb, School of Medicine, Zagreb, Croatia

* Corresponding author.

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Abstract

We report a case of a 31-year-old patient with obstructive ureterolithiasis in a transplanted
kidney, treated endoscopically with flexible ureterorenoscopy and laser lithotripsy. The patient
presented with biochemical signs of acute renal failure and ultrasonographically detected hydronephrosis.
Emergency nonenhanced computed tomography scan revealed an obstructive 5-mm stone in the
ureter of the transplanted kidney with resulting hydronephrosis. The patient received a double J stent to
relieve allograft obstruction. Since the stone size was deemed favorable for conservative treatment, the
patient was discharged. Two months later, he was readmitted for leucopenia caused by mycophenolate
mofetil. After recuperation of his white blood cell count, he was referred to extracorporeal shock wave
lithotripsy, but since the stone was radiolucent, an endoscopic procedure was indicated. Retrograde endoscopic
flexible ureterorenoscopy with ‘dusting’ of the stone was successfully performed. One year after
the procedure, the patient was stone free and with good allograft function.

Keywords

Renal allograft lithiasis; Flexible ureterorenoscopy

Hrčak ID:

310002

URI

https://hrcak.srce.hr/310002

Publication date:

31.7.2023.

Article data in other languages: croatian

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