Oct, 2017
Ureterolithotripsy for a Ureteral Calculus at the Ureteroureterostomy of a Renal-transplant Recipient
Acta Medica Okayama
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- Volume
- 71
- Number
- 5
- First page
- 449
- Last page
- 452
- Language
- English
- Publishing type
- Research paper (scientific journal)
- DOI
- 10.18926/AMO/55445
- Publisher
- Okayama University Medical School
We describe a 40-year-old living-donor renal-transplant recipient who underwent successful ureterolithotripsy. He had been on hemodialysis for >15 years pre-transplant and underwent ureteroureterostomy along with the surgery. One year post-transplant, ultrasound examination demonstrated hydronephrosis, and CT showed a 6-mm ureteral calculus at the ureteroureterostomy site. No pain and no elevated serum creatinine were present. As the ureter was easily accessed, we performed a ureterolithotripsy, which would confirm whether a suture caused the calculus. Despite ureteral tortuosity, laser stone fragmentation succeeded. The calculus was completely removed with an antegrade guidewire. Mild postoperative ureteral stenosis resolved with a temporary ureteral stent without balloon dilation. Ureterolithotripsy is effective even in renal transplant recipients with ureteroureterostomy.
- Link information
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- DOI
- https://doi.org/10.18926/AMO/55445
- CiNii Articles
- http://ci.nii.ac.jp/naid/120006352367
- CiNii Books
- http://ci.nii.ac.jp/ncid/AA00508441
- Web of Science
- https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000418747700013&DestApp=WOS_CPL
- URL
- http://ousar.lib.okayama-u.ac.jp/55445
- URL
- http://search.jamas.or.jp/link/ui/2018271332
- ID information
-
- DOI : 10.18926/AMO/55445
- ISSN : 0386-300X
- CiNii Articles ID : 120006352367
- CiNii Books ID : AA00508441
- Web of Science ID : WOS:000418747700013