{"title":"真空辅助微型ecirs治疗肾移植受者肾盏憩室结石一例报告","authors":"Ponthakorn Srithongsongsaeng, Kun Sirisopana, Surawach Piyawannarat, Yada Phengsalae, Premsant Sangkum, Wisoot Kongchareonsombat, Chinnakhet Ketsuwan","doi":"10.1016/j.eucr.2025.103079","DOIUrl":null,"url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103079"},"PeriodicalIF":0.5000,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Vacuum-assisted mini-ECIRS for calyceal diverticular stones in a recipient of a kidney transplant: A case report\",\"authors\":\"Ponthakorn Srithongsongsaeng, Kun Sirisopana, Surawach Piyawannarat, Yada Phengsalae, Premsant Sangkum, Wisoot Kongchareonsombat, Chinnakhet Ketsuwan\",\"doi\":\"10.1016/j.eucr.2025.103079\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>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.</div></div>\",\"PeriodicalId\":38188,\"journal\":{\"name\":\"Urology Case Reports\",\"volume\":\"61 \",\"pages\":\"Article 103079\"},\"PeriodicalIF\":0.5000,\"publicationDate\":\"2025-05-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Urology Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2214442025001500\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214442025001500","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
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 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.