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Percutaneous nephrolithotomy for management neglected encrusted ureteral stent in a transplanted kidney: a case report

Retrieving these forgotten encrusted double j (DJ) stents could be challenging and require multimodal urological interventions, especially in a single-functioning transplanted kidney. Only a few cases of mini-percutaneous nephrolithotomy (mini-PCNL) via ultrasonography (US) guidance in transplanted...

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Autores principales: Azis, Abdul, Bakri, Syarif, Putra, Muh Zulharyahya Dandy Asmara, Soehardjo, Indrawarman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9935645/
https://www.ncbi.nlm.nih.gov/pubmed/36818034
http://dx.doi.org/10.11604/pamj.2023.44.1.37682
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author Azis, Abdul
Bakri, Syarif
Putra, Muh Zulharyahya Dandy Asmara
Soehardjo, Indrawarman
author_facet Azis, Abdul
Bakri, Syarif
Putra, Muh Zulharyahya Dandy Asmara
Soehardjo, Indrawarman
author_sort Azis, Abdul
collection PubMed
description Retrieving these forgotten encrusted double j (DJ) stents could be challenging and require multimodal urological interventions, especially in a single-functioning transplanted kidney. Only a few cases of mini-percutaneous nephrolithotomy (mini-PCNL) via ultrasonography (US) guidance in transplanted kidneys have been published. We report a 47-year-old man; a case of a transplanted kidney, with a complaint of abdominal pain and dysuria for two weeks. The patient had a forgotten DJ stent for more than a year due to a lack of post-procedural follow-up information. An abdominal computed tomography scan showed a 20 x 13mm stone in the proximal tip of the DJ stent. Ultrasonography-guided mini-PCNL with a 19-fr rigid nephroscope was performed without complications. In conclusion, we emphasize the importance of patient education regarding the indwelling DJ stent. This case also provides that if an experienced urologist performs it, the US-guided mini-PCNL is safe and effective in transplanted kidney patients.
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spelling pubmed-99356452023-02-18 Percutaneous nephrolithotomy for management neglected encrusted ureteral stent in a transplanted kidney: a case report Azis, Abdul Bakri, Syarif Putra, Muh Zulharyahya Dandy Asmara Soehardjo, Indrawarman Pan Afr Med J Case Report Retrieving these forgotten encrusted double j (DJ) stents could be challenging and require multimodal urological interventions, especially in a single-functioning transplanted kidney. Only a few cases of mini-percutaneous nephrolithotomy (mini-PCNL) via ultrasonography (US) guidance in transplanted kidneys have been published. We report a 47-year-old man; a case of a transplanted kidney, with a complaint of abdominal pain and dysuria for two weeks. The patient had a forgotten DJ stent for more than a year due to a lack of post-procedural follow-up information. An abdominal computed tomography scan showed a 20 x 13mm stone in the proximal tip of the DJ stent. Ultrasonography-guided mini-PCNL with a 19-fr rigid nephroscope was performed without complications. In conclusion, we emphasize the importance of patient education regarding the indwelling DJ stent. This case also provides that if an experienced urologist performs it, the US-guided mini-PCNL is safe and effective in transplanted kidney patients. The African Field Epidemiology Network 2023-01-03 /pmc/articles/PMC9935645/ /pubmed/36818034 http://dx.doi.org/10.11604/pamj.2023.44.1.37682 Text en Copyright: Abdul Azis et al. https://creativecommons.org/licenses/by/4.0/The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Azis, Abdul
Bakri, Syarif
Putra, Muh Zulharyahya Dandy Asmara
Soehardjo, Indrawarman
Percutaneous nephrolithotomy for management neglected encrusted ureteral stent in a transplanted kidney: a case report
title Percutaneous nephrolithotomy for management neglected encrusted ureteral stent in a transplanted kidney: a case report
title_full Percutaneous nephrolithotomy for management neglected encrusted ureteral stent in a transplanted kidney: a case report
title_fullStr Percutaneous nephrolithotomy for management neglected encrusted ureteral stent in a transplanted kidney: a case report
title_full_unstemmed Percutaneous nephrolithotomy for management neglected encrusted ureteral stent in a transplanted kidney: a case report
title_short Percutaneous nephrolithotomy for management neglected encrusted ureteral stent in a transplanted kidney: a case report
title_sort percutaneous nephrolithotomy for management neglected encrusted ureteral stent in a transplanted kidney: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9935645/
https://www.ncbi.nlm.nih.gov/pubmed/36818034
http://dx.doi.org/10.11604/pamj.2023.44.1.37682
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