Endoscopic Combined Intrakidney Surgery to Remove a Large Renal Calculus in a Transplanted Kidney: A Case Report
Issued Date
2022-12-01
Resource Type
ISSN
00411345
eISSN
18732623
Scopus ID
2-s2.0-85142893050
Pubmed ID
36424227
Journal Title
Transplantation Proceedings
Volume
54
Issue
10
Start Page
2705
End Page
2708
Rights Holder(s)
SCOPUS
Bibliographic Citation
Transplantation Proceedings Vol.54 No.10 (2022) , 2705-2708
Suggested Citation
Ketsuwan C., Phengsalae Y., Kijvikai K., Kongchareonsombat W., Arpornsujaritkun N., Kantachuvesiri S., Sangkum P. Endoscopic Combined Intrakidney Surgery to Remove a Large Renal Calculus in a Transplanted Kidney: A Case Report. Transplantation Proceedings Vol.54 No.10 (2022) , 2705-2708. 2708. doi:10.1016/j.transproceed.2022.10.031 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/85212
Title
Endoscopic Combined Intrakidney Surgery to Remove a Large Renal Calculus in a Transplanted Kidney: A Case Report
Author's Affiliation
Other Contributor(s)
Abstract
Background: Large nephrolithiasis in a transplanted kidney is a rare situation and an associated risk from postoperative allograft dysfunction. We present our first experience with the implementation and successful result of an endoscopic combined intrakidney surgery (ECIKS) performed to remove a large donor-gifted stone after kidney transplant. Case Presentation: A 47-year-old female recipient with end-stage kidney disease with no identifiable cause underwent deceased donor kidney transplant at our center. Immediately after the operation, her kidney function slowly improved, and noncontrast computed tomography illustrated a large nephrolithiasis without hydronephrosis. After 6 weeks, the patient was treated successfully by ECIKS, and the stone was totally removed. The patient recovered well after surgery without additional adverse events. There were no residual fragments assessed by computed tomography as of 3 months after the surgery. Conclusions: A large allograft nephrolithiasis can be successfully retrieved using ECIKS. This is technically feasible, safe, and associated with low morbidity.
