移植腎結石に対してPNLを施行した1例

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  • 種田, 建史
    独立行政法人地域医療機能推進機構大阪病院泌尿器科
  • 金光, 俊行
    独立行政法人地域医療機能推進機構大阪病院泌尿器科
  • 林, 哲也
    独立行政法人地域医療機能推進機構大阪病院泌尿器科
  • 藤本, 宜正
    独立行政法人地域医療機能推進機構大阪病院泌尿器科
  • 小出, 卓生
    独立行政法人地域医療機能推進機構大阪病院泌尿器科

書誌事項

タイトル別名
  • Percutaneous Nephrolithotripsy for Renal Transplant Lithiasis : A Case Report
  • イショクジンケッセキ ニ タイシテ PNL オ シコウ シタ 1レイ

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抄録

A 54-year-old man was introduced to our hospital for follow-up examinations after renal transplantation. At the initial visit, a 25 mm renal transplant stone was noted, which had enlarged to 32 mm at an examination 1 year later. We first attempted transurethral lithotripsy (TUL), but failed due to ureteral stricture. However, we could completely remove the stone in 2 sessions of percutaneous nephrolithotripsy (PNL). The incidence of urinary lithiasis after renal transplantation ranges from 0.17-1.8%, for which PNL and TUL are frequently used. Although considered to be accompanied with risks of bleeding, bowel injury, and renal dysfunction, PNL is effective for urinary lithiasis after renal transplantation. TUL is less invasive, but access may be difficult when the ureter has an unusual course or ureteral stricture exists, as in our patient.

収録刊行物

  • 泌尿器科紀要

    泌尿器科紀要 62 (2), 69-71, 2016-02-29

    泌尿器科紀要刊行会

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