Locke D R, Steinbock G, Salomon D R, Bezirdjian L, Peterson J, Newman R C, Kaude J, Finlayson B
Department of Surgery, University of Florida College of Medicine, Gainesville.
J Urol. 1988 Mar;139(3):575-7. doi: 10.1016/s0022-5347(17)42531-6.
Renal calculi are a well documented although uncommon complication of kidney transplantation and may be associated with significant morbidity in this immunosuppressed population with a single functioning kidney. We describe a patient who presented with 2 episodes of staphylococcal bacteremia associated with a ureteral structure and struvite calculi involving the calices, renal pelvis and proximal ureter of a cadaveric renal allograft. The patient was treated successfully with a combination of extracorporeal shock wave lithotripsy, percutaneous extraction and balloon dilation of the ureteral stricture. Renal transplant function was not altered postoperatively. In selected cases shock wave lithotripsy can be used as effective adjunctive therapy in a renal allograft harboring stones.
肾结石是肾移植一种虽有充分记录但并不常见的并发症，在这个仅有一个功能肾的免疫抑制人群中，可能会导致严重的发病情况。我们描述了一名患者，该患者出现了2次葡萄球菌菌血症发作，伴有输尿管结构异常以及涉及尸体肾移植的肾盏、肾盂和近端输尿管的鸟粪石结石。该患者通过体外冲击波碎石术、经皮取石术以及输尿管狭窄球囊扩张术联合治疗成功治愈。术后移植肾功能未受影响。在某些特定病例中，冲击波碎石术可作为移植肾结石的有效辅助治疗方法。
