PMC9935645_01
coronal computed tomography image showing stones in A) the pelvis of the transplanted kidney (arrow); B) the distal DJ stent (arrow)
PAMJ-44-1-g001.jpg
PMC9935645_01_PAMJ-44-1-g001.jpg
F1
A non-contrast abdomen pelvic computed tomography (CT) scan showed moderate hydronephrosis of the transplanted kidney and stone formation in the proximal tip of the DJ stent measuring 20 x 13mm, total encrusted DJ stent (Figure 1A), and stone formation in the lower DJ stent (Figure 1B).
A) percutaneous punctures to the kidney with ultrasound guide; B) stones and DJ stents were successfully removed
PAMJ-44-1-g002.jpg
PMC9935645_01_PAMJ-44-1-g002.jpg
F2
Next, an incision was made in the skin, and an 18g needle was inserted using a US guide to access the suitable calyx of the kidney (Figure 2A). The stone was identified and fragmented by lithoclast and extracted with forceps without residue (Figure 2B).