Vacuum-assisted mini-ECIRS for calyceal diverticular stones in a recipient of a kidney transplant: A case report
Urolithiasis in renal allografts can cause serious complications, particularly when involving calyceal diverticula due to altered anatomy. We report the case of a 44-year-old female recipient of a kidney transplant who presented with recurrent urinary tract infections and elevated serum creatinine l...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-07-01
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| Series: | Urology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442025001500 |
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| author | Ponthakorn Srithongsongsaeng Kun Sirisopana Surawach Piyawannarat Yada Phengsalae Premsant Sangkum Wisoot Kongchareonsombat Chinnakhet Ketsuwan |
| author_facet | Ponthakorn Srithongsongsaeng Kun Sirisopana Surawach Piyawannarat Yada Phengsalae Premsant Sangkum Wisoot Kongchareonsombat Chinnakhet Ketsuwan |
| author_sort | Ponthakorn Srithongsongsaeng |
| collection | DOAJ |
| description | Urolithiasis in renal allografts can cause serious complications, particularly when involving calyceal diverticula due to altered anatomy. We report the case of a 44-year-old female recipient of a kidney transplant who presented with recurrent urinary tract infections and elevated serum creatinine levels. Imaging revealed a calyceal diverticular stone. After a failed retrograde approach, she underwent vacuum-assisted mini-endoscopic combined intrarenal surgery (ECIRS). A flexible ureteroscope enabled precise puncture and direct visualization for diverticular neck incision and fulguration. The procedure was successful with no complications. Vacuum-assisted mini-ECIRS is a safe and effective option for complex stone cases in recipients of transplants. |
| format | Article |
| id | doaj-art-3e4f3c7abd6140ca8363511cb82887cd |
| institution | Kabale University |
| issn | 2214-4420 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Case Reports |
| spelling | doaj-art-3e4f3c7abd6140ca8363511cb82887cd2025-08-20T03:35:47ZengElsevierUrology Case Reports2214-44202025-07-016110307910.1016/j.eucr.2025.103079Vacuum-assisted mini-ECIRS for calyceal diverticular stones in a recipient of a kidney transplant: A case reportPonthakorn Srithongsongsaeng0Kun Sirisopana1Surawach Piyawannarat2Yada Phengsalae3Premsant Sangkum4Wisoot Kongchareonsombat5Chinnakhet Ketsuwan6Division of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Toong Phayathai, Ratchathewi, Bangkok, 10400, ThailandDivision of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Toong Phayathai, Ratchathewi, Bangkok, 10400, ThailandDivision of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Toong Phayathai, Ratchathewi, Bangkok, 10400, ThailandDivision of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Toong Phayathai, Ratchathewi, Bangkok, 10400, ThailandDivision of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Toong Phayathai, Ratchathewi, Bangkok, 10400, ThailandDivision of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Toong Phayathai, Ratchathewi, Bangkok, 10400, ThailandCorresponding author. Division of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Toong Phayathai, Ratchathewi, Bangkok, 10400, Thailand.; Division of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Toong Phayathai, Ratchathewi, Bangkok, 10400, ThailandUrolithiasis in renal allografts can cause serious complications, particularly when involving calyceal diverticula due to altered anatomy. We report the case of a 44-year-old female recipient of a kidney transplant who presented with recurrent urinary tract infections and elevated serum creatinine levels. Imaging revealed a calyceal diverticular stone. After a failed retrograde approach, she underwent vacuum-assisted mini-endoscopic combined intrarenal surgery (ECIRS). A flexible ureteroscope enabled precise puncture and direct visualization for diverticular neck incision and fulguration. The procedure was successful with no complications. Vacuum-assisted mini-ECIRS is a safe and effective option for complex stone cases in recipients of transplants.http://www.sciencedirect.com/science/article/pii/S2214442025001500Calyceal diverticular stoneEndoscopic combined intrarenal surgeryKidney transplantationSuction sheath |
| spellingShingle | Ponthakorn Srithongsongsaeng Kun Sirisopana Surawach Piyawannarat Yada Phengsalae Premsant Sangkum Wisoot Kongchareonsombat Chinnakhet Ketsuwan Vacuum-assisted mini-ECIRS for calyceal diverticular stones in a recipient of a kidney transplant: A case report Urology Case Reports Calyceal diverticular stone Endoscopic combined intrarenal surgery Kidney transplantation Suction sheath |
| title | Vacuum-assisted mini-ECIRS for calyceal diverticular stones in a recipient of a kidney transplant: A case report |
| title_full | Vacuum-assisted mini-ECIRS for calyceal diverticular stones in a recipient of a kidney transplant: A case report |
| title_fullStr | Vacuum-assisted mini-ECIRS for calyceal diverticular stones in a recipient of a kidney transplant: A case report |
| title_full_unstemmed | Vacuum-assisted mini-ECIRS for calyceal diverticular stones in a recipient of a kidney transplant: A case report |
| title_short | Vacuum-assisted mini-ECIRS for calyceal diverticular stones in a recipient of a kidney transplant: A case report |
| title_sort | vacuum assisted mini ecirs for calyceal diverticular stones in a recipient of a kidney transplant a case report |
| topic | Calyceal diverticular stone Endoscopic combined intrarenal surgery Kidney transplantation Suction sheath |
| url | http://www.sciencedirect.com/science/article/pii/S2214442025001500 |
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