Complex, Crusty Calculi: A Case Study Report of Renal Transplant Lithiasis and Encrustation

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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