Flexible Ureterorenoscopy and Laser Lithotripsy in a Patient with a Stone in the Transplanted Kidney: A Case Report
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....
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2023-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/447470 |
| _version_ | 1827281664892469248 |
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| author | Marjan Marić Tomislav Kuliš Luka Penezić Vedran Andrijašević Ivica Mokos Željko Kaštelan |
| author_facet | Marjan Marić Tomislav Kuliš Luka Penezić Vedran Andrijašević Ivica Mokos Željko Kaštelan |
| author_sort | Marjan Marić |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-24T09:05:09Z |
| format | Article |
| id | doaj.art-6b3984d663f141f3918c83c60daabec2 |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:05:09Z |
| publishDate | 2023-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-6b3984d663f141f3918c83c60daabec22024-04-15T19:04:16ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512023-01-0162.Supplement 212713110.20471/acc.2023.62.s2.18Flexible Ureterorenoscopy and Laser Lithotripsy in a Patient with a Stone in the Transplanted Kidney: A Case ReportMarjan Marić0Tomislav Kuliš1Luka Penezić2Vedran Andrijašević3Ivica Mokos4Željko Kaštelan5Department of Urology, Zagreb University Hospital Center, Zagreb, CroatiaDepartment of Urology, Zagreb University Hospital Center, Zagreb, Croatia; University of Zagreb, School of Medicine, Zagreb, CroatiaDepartment of Urology, Zagreb University Hospital Center, Zagreb, CroatiaDepartment of Urology, Zagreb University Hospital Center, Zagreb, CroatiaDepartment of Urology, Zagreb University Hospital Center, Zagreb, CroatiaDepartment of Urology, Zagreb University Hospital Center, Zagreb, Croatia; University of Zagreb, School of Medicine, Zagreb, CroatiaWe 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.https://hrcak.srce.hr/file/447470Renal allograft lithiasisFlexible ureterorenoscopy |
| spellingShingle | Marjan Marić Tomislav Kuliš Luka Penezić Vedran Andrijašević Ivica Mokos Željko Kaštelan Flexible Ureterorenoscopy and Laser Lithotripsy in a Patient with a Stone in the Transplanted Kidney: A Case Report Acta Clinica Croatica Renal allograft lithiasis Flexible ureterorenoscopy |
| title | Flexible Ureterorenoscopy and Laser Lithotripsy in a Patient with a Stone in the Transplanted Kidney: A Case Report |
| title_full | Flexible Ureterorenoscopy and Laser Lithotripsy in a Patient with a Stone in the Transplanted Kidney: A Case Report |
| title_fullStr | Flexible Ureterorenoscopy and Laser Lithotripsy in a Patient with a Stone in the Transplanted Kidney: A Case Report |
| title_full_unstemmed | Flexible Ureterorenoscopy and Laser Lithotripsy in a Patient with a Stone in the Transplanted Kidney: A Case Report |
| title_short | Flexible Ureterorenoscopy and Laser Lithotripsy in a Patient with a Stone in the Transplanted Kidney: A Case Report |
| title_sort | flexible ureterorenoscopy and laser lithotripsy in a patient with a stone in the transplanted kidney a case report |
| topic | Renal allograft lithiasis Flexible ureterorenoscopy |
| url | https://hrcak.srce.hr/file/447470 |
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