Uric acid stone formation in a patient after kidney transplantation--metabolic and therapeutic considerations.
The formation of urinary calculi following renal transplantation is a rare event with a frequency of less than 1% (4). Although 133 cases were described up to 1988, only 5 of these had pure uric acid stones (3). We report a case in which an excessive purine-rich diet probably caused the stone formation. Three modalities of treatment were used, percutaneous nephrolithotripsy, shock wave lithotripsy (ESWL) and chemolysis.
Norlén
B J
BJ
Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Hellström
M
M
Nisa
M
M
Robertson
W G
WG
D003131:Combined Modality Therapy; D004032:Diet / Q000009:adverse effects; D006801:Humans; D007669:Kidney Calculi / Q000737:chemistry / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D016030:Kidney Transplantation; D008096:Lithotripsy / Q000379:methods; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000379:methods; D011859:Radiography; D017693:Sodium Bicarbonate / Q000008:administration & dosage / Q000627:therapeutic use; D014514:Ureteral Calculi / Q000737:chemistry / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014527:Uric Acid / Q000378:metabolism*
D014527:Uric Acid; D017693:Sodium Bicarbonate