- Title
- Complex, Crusty Calculi: A Case Study Report of Renal Transplant Lithiasis and Encrustation
- Creator
- Swaminathan, Shriram; Park, In-Ah; Chacko, Bobby
- Relation
- Transplantation Direct Vol. 9, Issue 6
- Publisher Link
- http://dx.doi.org/10.1097/TXD.0000000000001468
- Publisher
- Lippincott Williams & Wilkins
- Resource Type
- journal article
- Date
- 2023
- Description
- Ureteric encrustation and lithiasis after renal transplantation are rare but not without risk of obstruction and graft loss. Patients are usually asymptomatic, and a majority present with graft dysfunction with imaging demonstrating hydronephrosis and rarely with acute graft pyelonephritis. We compare a case of transplant lithiasis with encrusted pyelitis and highlight key differences in their presentation and workup. A key focus for transplant physicians is to recognize when dealing with transplant hydronephrosis that the presence of a high urine pH and pyuria should be a key indicator to suspect ureteric encrustation to look for a urease-producing organism, recognizing that such organisms require prolonged incubation with urine culturing for up to 72 h.
- Subject
- renal transplant; graft; transplant physicians; high urine
- Identifier
- http://hdl.handle.net/1959.13/1483996
- Identifier
- uon:51251
- Identifier
- ISSN:2373-8731
- Rights
- x
- Language
- eng
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