scholarly journals Outpatient percutaneous nephrolithotomy in a renal transplant patient: World’s first case

2015 ◽  
Vol 9 (5-6) ◽  
pp. 324 ◽  
Author(s):  
Kristen McAlpine ◽  
Michael J. Leveridge ◽  
Darren Beiko
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Renal Transplant Patient ◽  
Transplant Patient ◽  
Stable Condition ◽  
Renal Calculi ◽  
Renal Allografts ◽  
Transplanted Kidney ◽  
First Case ◽  
Successful Case ◽  
Tubeless Pcnl

Percutaneous nephrolithotomy (PCNL) is an established safe and effective surgical treatment option for renal calculi in renal allografts. The advent of tubeless PCNL has led to reports of ambulatory or outpatient PCNL. This case report describes the successful outpatient management of a 49-year-old female with a symptomatic renal pelvic calculus in her transplanted kidney. Tubeless PCNL successfully removed the stone, free of complication, and the patient was discharged 2 hours and 17 minutes after the procedure in stable condition with minimal pain. This is, to the best of our knowledge, the first successful case of outpatient tubeless PCNL in a transplanted kidney.

scholarly journals Experience of percutaneous access under ultrasound guidance in renal transplant patients with allograft lithiasis

2016 ◽  
Vol 88 (4) ◽  
pp. 337 ◽  
Author(s):  
Silvano Palazzo ◽  
Ottavio Colamonico ◽  
Saverio Forte ◽  
Matteo Matera ◽  
Giuseppe Lucarelli ◽  
...  
Keyword(s):  
Renal Function ◽  
Percutaneous Nephrolithotomy ◽  
Ultrasound Guidance ◽  
Laser Energy ◽  
Renal Calculi ◽  
Optimal Choice ◽  
Transplanted Kidney ◽  
Transplant Patients ◽  
First Case ◽  
Ultrasound Study

Objective: Urolithiasis of the transplanted kidney has an incidence of 0.2 to 1.7%, it increases the risk of infection in immunosuppressed patients and it can lead to ureteral obstruction that is often associated with deterioration of renal function. Urolithiasis of the transplanted kidney has different characteristics compared to the native kidney, due to the absence of innervation, which does not lead to colic pain. Percutaneous approach is an optimal choice in transplant patients. Material and methods: Here we report our experience in two cadaveric transplant patients with urolithiasis. The first case was a patient of 68 years with a 20 mm stone located in the transplanted kidney pelvis and another smaller in a lower calyx. The second case was a patient of 65 years with a 15 mm stone in the distal part of the transplanted ureter. In both cases the patients were asymptomatic, but they had a reduction in urine output associated with worsening of the transplanted kidney function. The diagnosis was performed in both cases with ultrasound study, showing a severe hydronephrosis and it was confirmed by computed tomography scan. In both cases, we performed a Percutaneous Nephrolithotomy (PCNL). Access was made after targeting the stone, through a lower pole puncture under ultrasound guidance. The first case was treated with pneumatic and laser energy, breaking stones through a nephroscope. In the second case we performed a laser lithotripsy of the ureteral stone, using a flexible videoureteroscope. At the end of both procedures a Double-J stent and a 14 Fr Malecot nephrostomy were positioned, that were removed at 6 weeks and 10 days, respectively. Results: Both patients achieved a resolution of the worsening of renal function, recovering the spontaneous diuresis. The surgical procedure using ultrasound guidance was safe and allowed quick access to the renal pelvis. Both patients experienced no bleeding or infection during hospitalization. Conclusions: Percutaneous Nephrolithotomy (PCNL) is an established safe and effective surgical treatment option for larger renal calculi in renal allografts. The ultrasound guided access to the transplanted kidney in percutaneous treatment of urolithiasis is useful and fast, minimizing patient exposure to ionizing radiation.

scholarly journals First Case of Disseminated Infection with Nocardia cerradoensis in a Human

2015 ◽  
Vol 53 (3) ◽  
pp. 1034-1037 ◽  
Author(s):  
Caroline Piau ◽  
Mallorie Kerjouan ◽  
Marc Le Mouel ◽  
Solene Patrat-Delon ◽  
Pierre-Louis Henaux ◽  
...  
Keyword(s):  
Renal Transplant ◽  
16S Rrna ◽  
Species Identification ◽  
Antibiotic Treatment ◽  
Renal Transplant Patient ◽  
Transplant Patient ◽  
Brain Biopsy ◽  
Content Type ◽  
Disseminated Infection ◽  
First Case

Here we report in a human, a renal transplant patient, the first disseminated infection withNocardia cerradoensis, isolated after a brain biopsy. Species identification was based on 16S rRNA,gyrB, andhsp65gene analyses. Antibiotic treatment was successful by combining carbapenems and aminoglycosides and then switching to oral trimethoprim-sulfamethoxazole.

scholarly journals Simultaneous bilateral tubeless percutaneous nephrolithotomy:

2013 ◽  
Vol 6 (4) ◽  
pp. 162 ◽  
Author(s):  
Alice Yu ◽  
Walid Shahrour ◽  
Sero Andonian
Keyword(s):  
Hospital Stay ◽  
Percutaneous Nephrolithotomy ◽  
Lower Cost ◽  
Renal Calculi ◽  
Remote Areas ◽  
Tubeless Pcnl ◽  
Tubeless Percutaneous Nephrolithotomy ◽  
Postoperative Discomfort

Percutaneous nephrolithotomy (PCNL) is currently the standardof care to remove large renal calculi. Traditionally, a large-borenephrostomy tube is placed postoperatively. However, the necessityof this practice has been recently challenged. Theoretically, bilateral tubeless PCNL offers advantages of lower postoperative discomfort, shorter hospital stay and thus lower cost. We review the literature and present two cases of simultaneous bilateral tubeless PCNL from two patients who were referred to a tertiary stone centre from remote areas.

scholarly journals Tubeless percutaneous nephrolithotomy (pcnl) in renal allografts: a case report and mini-review

2016 ◽  
Vol 10 ◽  
Author(s):  
Siavash Falahatkar ◽  
Gholamreza Mokhtari ◽  
Samaneh Esmaeili ◽  
Seyed Morteza Bashiri Ebrahimian ◽  
Nadia Rastjou Herfeh
Keyword(s):  
Renal Function ◽  
Case Report ◽  
Percutaneous Nephrolithotomy ◽  
Rare Complication ◽  
Significant Morbidity ◽  
Renal Allografts ◽  
Transplanted Kidney ◽  
Urinary Lithiasis ◽  
Tubeless Percutaneous Nephrolithotomy ◽  
Uncommon Complication

Urinary lithiasis in transplanted kidney is a relatively uncommon complication. However, it may lead to a significant morbidity and loss of renal function. The report presents the case of a 32-year-old male renal-transplant recipient, with a stone in renal pelvis who was treated successfully by tubeless percutaneous nephrolithotomy (PCNL). The patient is currently stone free with no complication. This article also reviews in brief the treatment of this rare complication. Reviewing the literature showed that PCNL is safe and feasible procedure for treating nephrolithiasis in a transplanted kidney.

scholarly journals Legionella-Associated Lung Abscess: Critical Pathogen or Minor Isolate?

1992 ◽  
Vol 3 (6) ◽  
pp. 315-318
Author(s):  
Gordon CK Dow ◽  
Anthony W Chow
Keyword(s):  
Renal Transplant ◽  
Legionella Pneumophila ◽  
Renal Transplant Patient ◽  
Transplant Patient ◽  
Lung Abscess ◽  
Bacterial Isolates ◽  
Specific Therapy ◽  
First Case ◽  
Legionella Micdadei

Two cases of lung abscess, in whichLegionellaspecies were identified in association with other bacterial isolates, are presented. In the first case,Legionella pneumophilaandKlebsiella pneumoniaewere identified in a 24-year-old post renal transplant patient with a right upper lobe pulmonary abscess. Healing did not occur until the institution of specific therapy directed against legionella. In the second case,Legionella micdadeiand several other respiratory bacterial pathogens were identified in a 74-year-old woman with a lung abscess. The patient later died with multisystem failure despite adequate antimicrobial therapy. Prior cases of legionella-associated lung abscess have occurred predominantly in corticosteroid-treated patients. The role of coexisting bacterial isolates remains obscure.

scholarly journals Tubeless Percutaneous Nephrolithotomy: Can be a Choice, Why Not?

2014 ◽  
Vol 7 (1) ◽  
pp. 4-7 ◽  
Author(s):  
Mert Ali Karadag ◽  
Kursat Cecen ◽  
Aslan Demir ◽  
Ramazan Kocaaslan ◽  
Kerem Taken ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Drainage System ◽  
Standard Of Care ◽  
Renal Stones ◽  
Renal Calculi ◽  
Safe Procedure ◽  
Nephrostomy Tube ◽  
Renal Surgery ◽  
Hemorrhagic Tendency ◽  
Tubeless Pcnl

Percutaneous nephrolithotomy (PCNL) has been widely accepted and is commonly used to treat renal calculi. The optimal drainage of kidney after PCNL has not been clearly determined yet. Placement of an 18F to 24F nephrostomy tube at the end of the procedure is accepted as standard of care to date. The main advantages are adequate renal drainage, hemostatic tamponade and providing renal access for second look PCNL. However, based on the concept that the purpose of the tube is only to maintain adequate drainage of the kidney, a “tubeless” approach has been developed by placing a ureteral stent or catheter to provide drainage after PCNL instead of a nephrostomy tube. Tubeless PCNL is an effective and safe procedure for treatment of renal stones in selected cases. This procedure can even be chosen for patients with previous renal surgery, and hemorrhagic tendency. By using this method, less postoperative pain and a shorter hospital stay can be achieved, when compared with conventional PCNL. There is a controversy over ideal drainage system after PCNL in recent years. Herein, we made a systematic review for efficacy and safety of tubeless PCNL, totally tubeless PCNL, discussed different variations and compared the outcomes of this technique with standart PCNL.

scholarly journals A Rare Case of Drug-Resistant Nocardia transvalensis Infection in a Renal Transplant Patient

2020 ◽  
Vol 8 ◽  
pp. 232470962090924 ◽  
Author(s):  
Rajan Kapoor ◽  
Sreedhar Adapa ◽  
Anusha Vakiti ◽  
Imran Yaseen Gani ◽  
Laura Mulloy ◽  
...  
Keyword(s):  
Renal Transplant ◽  
Rare Case ◽  
Renal Transplant Patient ◽  
Transplant Patient ◽  
Opportunistic Infections ◽  
Resistant Organism ◽  
Drug Resistant ◽  
Nocardia Species ◽  
First Case ◽  
Immunocompromised Hosts

Nocardia transvalensis is a rare species of Nocardia and is known to be a drug-resistant organism. Multiple cases have been reported of Nocardia species causing opportunistic infections in immunocompromised hosts. To our knowledge, we report the first case of successfully treated drug-resistant Nocardia transvalensis causing pulmonary nocardiosis in a renal transplant patient. Our case validates the importance of prompt identification of Nocardia species and their drug sensitivities to improve clinical outcomes and reduce mortality.

scholarly journals Shigellemia in a post renal transplant patient: a case report and literature review

2014 ◽  
Vol 8 (02) ◽  
pp. 237-239 ◽  
Author(s):  
Suma B Appannanavar ◽  
Kapil Goyal ◽  
Rajkumar Garg ◽  
Pallab Ray ◽  
Manish Rathi ◽  
...  
Keyword(s):  
Renal Transplant ◽  
Renal Transplant Patient ◽  
Transplant Patient ◽  
Prolonged Hospital Stay ◽  
High Grade Fever ◽  
Malnourished Children ◽  
First Case ◽  
High Prevalence ◽  
History Of ◽  
Prolonged Hospital

Shigellemia is a complication of shigellosis that occurs generally in malnourished children. In adults, shigellemia is usually seen in immunocompromised individuals. Here we report the first case of shigellemia in a renal transplant patient from India. The patient had history of diarrhea, which was treated symptomatically. Subsequently, the patient developed high-grade fever and blood culture was positive for Shigellaflexneri. Recovery was uneventful after the initiation of antimicrobial therapy. In a country like India with high prevalence of shigellosis, screening for Shigella in the pre-transplant period may minimize the morbidity and prolonged hospital stay associated with the complication of septicemia.

scholarly journals Outpatient bilateral supracostal tubeless percutaneous nephrolithotomy for staghorn calculi

2014 ◽  
Vol 8 (3-4) ◽  
pp. 273 ◽  
Author(s):  
Andrea Kokorovic ◽  
James William Lennox Wilson ◽  
Darren Beiko
Keyword(s):  
Case Report ◽  
Percutaneous Nephrolithotomy ◽  
Surgical Procedure ◽  
Hospital Costs ◽  
Stable Condition ◽  
Feasible Method ◽  
Staghorn Calculi ◽  
Inpatient Procedure ◽  
Tubeless Pcnl ◽  
Tubeless Percutaneous Nephrolithotomy

Percutaneous nephrolithotomy (PCNL) is the surgical procedure of choice to treat staghorn calculi. Most centres perform PCNL as the traditional inpatient procedure. However, outpatient PCNL has been successfully attempted and represents a feasible method of reducing hospital costs. We report the case of a 35-year-old female who underwent outpatient simultaneous PCNL for bilateral renal staghorn calculi. The patient was discharged in stable condition less than 3 hours following the procedure with minimal discomfort. To the best of our knowledge, this case report is the first to describe a successfully completed outpatient bilateral supracostal tubeless PCNL for staghorn calculi.

Sign in / Sign up

Export Citation Format

Share Document