Jin Zhaofang, Lai Jianjun, Zhang Jianjun
Outpatient Department of Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324, Jingwu Road, Huaiyin District, Jinan, Shandong 250021, China.
J Surg Case Rep. 2024 Aug 29;2024(8):rjae445. doi: 10.1093/jscr/rjae445. eCollection 2024 Aug.
A 39-year-old man was admitted to our hospital with kidney stones after kidney transplantation. Kidney, ureter, and bladder radiographs showed multiple stones in the transplanted and orthotopic kidneys, which had not been reported previously. Owing to the larger size of the stones in the transplanted kidney, they needed to be removed. Percutaneous nephrolithotomy and ureteroscopy were performed under B-mode ultrasound guidance. The stone measured 1.9 × 1.6 cm and was located under the calyx of the kidney. A titanium laser fiber was used to dissolve the stones, which were subsequently removed. No adverse reactions occurred during or after the surgery. The causes of stone formation included dietary factors, related drugs, improper fluid intake, and urinary tract infections. As neither the donor nor the recipient had a history of kidney stones, we hypothesized that the stones were a new entity that either developed following transplantation or a long-term complication.
一名39岁男性肾移植后因肾结石入住我院。肾脏、输尿管和膀胱X线片显示移植肾和原位肾有多个结石，此前未见报道。由于移植肾中的结石较大，需要将其取出。在B超引导下进行了经皮肾镜取石术和输尿管镜检查。结石大小为1.9×1.6厘米，位于肾盏下方。使用钛激光纤维溶解结石，随后将结石取出。手术期间及术后未发生不良反应。结石形成的原因包括饮食因素、相关药物、液体摄入不当和尿路感染。由于供体和受体均无肾结石病史，我们推测这些结石是移植后出现的新情况或长期并发症。
