Endourological Treatment of Calcified Catheter in Renal Graft: Case Presentation
DOI:
https://doi.org/10.54212/27068048.v11i1.141Keywords:
Kidney transplantation, Postoperative complications, Catheters, Percutaneous nephrolithotomyAbstract
The use of double J stent (DJS) is considered an important step in renal transplantation, it acts as a protective factor for the anastomosis between the ureter and the bladder. Thus, it can also be the cause of many complications: infections, hematuria, calcifications and even loss of the renal graft. Material and methods: A 26-year-old male patient with a history of end-stage renal disease and a kidney transplant from a related living donor performed in 2018. He was evaluated 4 years after the transplant with symptoms of abdominal pain in the right iliac fossa, taking control studies found a calcified double J stent in the renal graft. Informed consent from the patient is previously obtained and a retrospective review of the clinical data is performed. Results: We present the case of a kidney transplant patient with calcified DJS, who underwent endourological management combining cystolithotripsy plus percutaneous nephrolithotomy (PCNL), with Holmium laser (Ho:YAG) performed in two surgical times with success. The patient was discharged without complications.
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