Book review
https://doi.org/10.20471/acc.2023.62.s2.19
Different Approaches to Managing Urolithiasis in Kidney Transplant Patients – A Case Report
Ivana Peko
orcid.org/0009-0007-2918-3225
; University of Rijeka, School of Medicine, Rijeka, Croatia
*
Josip Španjol
; University of Rijeka, School of Medicine, Rijeka, Croatia; Department of Urology, Rijeka University Hospital Center, Rijeka, Croatia
Romano Oguić
; University of Rijeka, School of Medicine, Rijeka, Croatia; Department of Urology, Rijeka University Hospital Center, Rijeka, Croatia
Antun Gršković
orcid.org/0000-0002-4557-3879
; University of Rijeka, School of Medicine, Rijeka, Croatia; Department of Urology, Rijeka University Hospital Center, Rijeka, Croatia
Dražen Rahelić
; Department of Urology, Rijeka University Hospital Center, Rijeka, Croatia
Nino Rubinić
; Department of Urology, Rijeka University Hospital Center, Rijeka, Croatia
Mauro Materljan
; Department of Urology, Rijeka University Hospital Center, Rijeka, Croatia
Ante Jakšić
; Department of Urology, Rijeka University Hospital Center, Rijeka, Croatia
Dean Markić
orcid.org/0000-0001-5696-0850
; University of Rijeka, School of Medicine, Rijeka, Croatia; Department of Urology, Rijeka University Hospital Center, Rijeka, Croatia
* Corresponding author.
Abstract
Urolithiasis is a rare urologic complication after kidney transplantation, and its diagnosis
and treatment can be challenging for clinicians. In our 52-year-old male patient, graft hydronephrosis
was found six months after transplantation. The patient had recurrent urinary tract infections
followed by macrohematuria and an increase in creatinine levels. Computerized tomography revealed a
13-mm diameter stone in the ureter of the transplanted kidney as the cause of obstruction. Percutaneous
nephrostomy was placed in the graft to solve the obstruction. Initial endoscopic treatment with a retrograde
approach failed. An antegrade approach through a previously placed nephrostomy was not successful
either. By a repeated retrograde approach, laser lithotripsy was performed successfully. The patient
has been monitored for six months and has stable graft function without hydronephrosis or stones. As in
our patient’s case, the diagnosis and treatment of urolithiasis in kidney transplant patients is challenging,
and minimally invasive procedures are the treatment of choice.
Keywords
Kidney transplantation; Ureterolithiasis; Ureteroscopy; Laser lithotripsy
Hrčak ID:
310050
URI
Publication date:
31.7.2023.
Visits: 859 *