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Markic D et al, 2011: Extracorporeal shockwave lithotripsy of ureteral stone in a patient with en bloc kidney transplantation: a case report

Markic D, Valencic M, Grskovic A, Spanjol J, Sotosek S, Fuckar Z, Maricic A, Pavlovic I, Budiselic B.
Department of Urology, University Hospital Rijeka, Rijeka, Croatia


Abstract

We report a case of ureterolithiasis in a patient with an en bloc kidney transplantation, using extracorporeal shockwave lithotripsy (ESWL). The patient presented with asymptomatic macrohematuria. Computed tomography revealed a ureteral calculus just below the pyeloureteral junction with hydronephrosis of the medially positioned kidney. Took two sessions of ESWL were required for complete disintegration of the stone. At 3 years after successful treatment, the patient has an excellent functioning and stone-free graft.

Copyright © 2011 Elsevier Inc. All rights reserved.
Transplant Proc. 2011 Jun;43(5):2110-2. doi: 10.1016/j.transproceed.2011.03.031
PMID: 21693338 [PubMed - in process]

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Comments 1

Hans-Göran Tiselius on Monday, 04 July 2011 13:25

This is a report on successful ultrasound guided ESWL of a ureteral stone that developed in a patient with en bloc kidney transplant. The stone removal was accomplished with a total of 3500 shock waves given in two sessions with an interval of 10 days. Difficulties with ultrasound localization of stones in these patients are discussed by the authors.

Hans-Göran Tiselius

This is a report on successful ultrasound guided ESWL of a ureteral stone that developed in a patient with en bloc kidney transplant. The stone removal was accomplished with a total of 3500 shock waves given in two sessions with an interval of 10 days. Difficulties with ultrasound localization of stones in these patients are discussed by the authors. Hans-Göran Tiselius
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