Urolithiasis in a Deceased Donor Kidney Transplant Recipient: Case Report

Urolithiasis is a rare complication among kidney transplant recipients, with an incidence of 0.4% to 4.4%. Saudi Arabia has a very hot environment for most of the year, which has been linked to an increased incidence of nephrolithiasis. Additionally, animal protein consumption promotes stone development. Saudi Arabia has 2.5 times the number of stone formation indications as the rest of the world. Several features of urolithiasis and stone composition have already been discussed. The most frequent stone composition is calcium oxalate, followed by uric acid. We discuss the case of a 35-year-old Indian male brain death donor who presented after an automobile accident and had no history of chronic illness. One of his kidneys was transplanted into a female patient. She complained with flank pain and dysuria numerous times after transplant, which turned out to be a urinal track infection. She thereafter developed hematuria with burning micturition, and tests revealed that she had a large renal bladder stone as well as several pelvic kidney stones. The patient received lithotripsy and the stone was removed, and her kidney function was restored.