Abstract

Objective: To report the clinical experience of a case of mini-percutaneous nephrolithotomy (mini-PCNL) in a renal transplant patient.

Case presentation: We present the case of a 59-year-old male with a renal transplant performed 6 years earlier, who was admitted with dull pain in the left iliac fossa. Abdominal CT scan revealed multiple large stones located in the renal pelvis, upper ureter, and lower calyx, causing grade II hydronephrosis. The patient underwent mini-PCNL as the chosen intervention.

Result: The procedure was performed in a single session without retrograde ureteral catheterization. Complete stone clearance was achieved. The hospital stay was short, only 4 days, and no complications were recorded.

Conclusion: Mini-PCNL is a safe and effective option for the management of urolithiasis in renal transplant patients. This case highlights the importance of individualized surgical strategies to optimize treatment outcomes.