Donor calculi induced acute renal failure.
Nephrolithiasis is an infrequent complication following renal transplantation and acquisition of a stone with the donor kidney is rare. Indeed only a few cases of donor stones causing renal failure have been reported. Since the grafted kidney is denervated, stone disease may not present with the classic renal colic but rather with acute renal failure secondary to the obstruction. Identification of the precise cause is critical in order to avoid inappropriate therapy. We present our experience of two renal transplant patients who developed obstructive uropathy by stones originating from the donor kidneys.
Department of Medicine, State University of New York at Buffalo School of Medicine and Biomedical Science, Erie County Medical Center, Buffalo, New York 14215, USA.
Yasir A
YA
Qazi
Yaqub
Y
Ali
Rocco C
RC
Venuto
D058186:Acute Kidney Injury / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000628:therapy; D000328:Adult; D006801:Humans; D007669:Kidney Calculi / Q000150:complications* / Q000000981:diagnostic imaging* / Q000628:therapy; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects*; D020347:Lithiasis / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D014019:Tissue Donors; D014463:Ultrasonography