移植腎後輸尿管結石:病例報告
董劭偉1、陳冠州1,2
1台北醫學大學附設雙和醫院 泌尿科,2台北醫學大學 泌尿科
Ureter stone : A case report
Shao-Wei Dong1, Kuan-Chou Chen 1,2
1Department of Urology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan
2Department of Urology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
Urinary stone formation following kidney transplantation is a rare complication. It was difficult and complicated than native kidney with urinary stone. Due to the anatomy, rigidly ureteroscope cannot easy advance into ureter to renal pelvis.
We report a 58 year-old female, with diseases of end stage kidney received kidney transplant 10 years ago who was found transplanted kidney hydronephrosis with ureter stone.
Case report
A 58 year-old female with diseases of end stage kidney received kidney transplant 10 years ago. This time, she was suffered from right flank pain for days. Abdominal and pelvis CT showed Transplanted kidney Hydronephrosis with multiple ureter stone. Percutaneous nephrostomy was performed first. We used flexible cystoscopy to inserted guidewire into orifice and than flexible ureteroscopy though the guidewire into ureter and laser lithotripsy was done smoothly. She was discharged and outpatient department follow up without any complication and recurrence.