序贯肝肾移植术后双J型支架钙化与原发性草化症相关:1例报告

A. Si̇nangi̇l, V. Çelik, S. Barlas, F. Altunrende, E. B. Akin, T. Ecder
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引用次数: 0

摘要

I型高草酸尿症(HPI)是一种继发于肝脏丙氨酸乙醛转氨酶缺乏症的代谢性疾病。肾功能衰竭的发生是由于肾脏中草酸盐的过量产生和沉淀。当发生终末期肾功能衰竭时,肝肾联合移植是正确的治疗方法,因为单独进行肾移植,移植肾中相同病理复发的风险很高。我们在一名22岁的患者中测定了在短时间内植入输尿管的双J支架周围的钙化,该患者接受了连续的肝脏和肾脏移植,诊断为草化症。在文献中,我们没有发现双J型支架联合或顺序移植后钙化的论文。虽然序贯移植后的钙化、肾钙化、肾结石实际上不太值得关注,但这些患者在移植后早期应更仔细地随访支架钙化情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Calcified Double J Stent after Sequential Liver and Renal Transplantation Associated to Primary Oxalosis: Case Report
Abstract Hyperoxaluria type I (HPI) is a metabolic disorder secondary to liver alanine glyoxylate aminotransferase deficiency. Renal failure occurs due to the excessive production and precipitation of oxalate in the kidney. Combined liver-renal transplantation is the correct treatment for this condition when end-stage renal failure occurs since in renal transplantation alone the risk of recurrence of the same pathology in the transplanted kidney would be high. We determined the calcification surrounding the double J stent inserted to the transplant ureter in a short time in a 22-year-old patient who underwent sequential liver and renal transplantation with the diagnoses of oxalosis. In the literature we have not found papers on calcification of double J stent following combined or sequential transplantation. Although after the sequential transplantation the calcification, nephrocalcinosis, and renal stones were practically not of great concern, these patients should be followed up more carefully in terms of stent calcification during the early post-transplant period.
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