Acute renal failure due to a calculus obstructing a transplanted kidney.
Nephrolithiasis is a rare finding in kidney transplantation and anuria could be the only clinical sign. We report the case of a 52-year-old Caucasian male renal transplant recipient admitted due to acute renal failure (ARF) and anuria. He reported no symptoms and a palpable bulge in the right iliac fossa corresponding to the graft was present. Ultrasonography showed hydronephrosis of the graft. A double-J ureteral stent was inserted with resolution of ARF. ARF with anuria and the presence of a palpable non-tender, elastic mass over the graft could be the clinical picture of obstructive ARF in a transplanted kidney.
Renal Unit, Monselice Hospital, Monselice, Padua, Italy. hrfabbia@tin.it
Fabio
F
Fabbian
Carlo
C
Catalano
Emanuela
E
Rizzioli
Marcella
M
Normanno
Piero Antonio
PA
Conz
D058186:Acute Kidney Injury / Q000209:etiology*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007669:Kidney Calculi / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D014463:Ultrasonography
D007166:Immunosuppressive Agents