Hypocitraturia-related Ureteral Steinstrasse in a Renal Transplant Recipient / 이화의대지
The Ewha Medical Journal
;
: 117-120, 2015.
Article
in Korean
| WPRIM
| ID: wpr-165760
ABSTRACT
Urolithiasis is an uncommon complication in renal transplantation. We report a case of hypocitraturia-related ureteral steinstrasse which was spontaneously formed in a renal transplant recipient. The patient who underwent renal transplantation was admitted with acute pyelonephritis. Hydronephrosis in the transplanted kidney and multiple stones (steinstrasse) in the distal ureter were incidentally found on computed tomography scanning. After a failed attempt of ureteroscopic removal of stones, the patient underwent open ureterolithotomy and ureteroureterostomy. On stone analysis, carbonate apatite was confirmed. Urinary citric acid levels were decreased to 127.6 mg/day. Potassium citrate was administered to prevent stone recurrence by increasing urinary citrate excretion. No recurrence of stones was shown six months later. Urolithiasis in renal transplant recipients requires a high index of suspicion. Hypocitraturia can increase the risk for urolithiasis. Rapid recognition by careful surveillance, prompt removal of stones, and precautionary efforts to prevent recurrence are needed.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pyelonephritis
/
Recurrence
/
Transplantation
/
Ureter
/
Carbon
/
Kidney Transplantation
/
Citric Acid
/
Potassium Citrate
/
Urolithiasis
/
Hydronephrosis
Limits:
Humans
Language:
Korean
Journal:
The Ewha Medical Journal
Year:
2015
Type:
Article
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