Open Access

RESIDENT’S CORNER

Obstructing ureteral calculus causing massive hydronephrosis in a renal allograft

Adam J. Sharbaugh¹, Daniel L. Pelzman¹, Michelle Jo Semins^1,2

1 Department of Urology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
2 Department of Urology, West Virginia University Medicine, Morgantown, West Virginia, USA
Address correspondence to Dr. Michelle Jo Semins, 20 Medical Park, Medical Tower 2, Suite 201, Wheeling, WV 26003 USA

Canadian Journal of Urology 2022, 29(5), 11329-11331.

Abstract

Nephrolithiasis is a rare complication of renal transplantation. Patients with an obstructing calculus in a renal allograft often lack the usual renal colic symptoms, and therefore present with atypical symptoms. Treatment of obstructing calculi is imperative to prevent renal allograft failure and other complications. We report the case of a 46-year-old man who presented 28 years after renal transplant with renal failure and massive hydronephrosis secondary to an obstructing calculus.

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