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P.301 Calcification of JJ catheter post renal transplantation about two cases

Rihem DAHMANE, Tunisia

CHU SAHLOUL SOUSSE TUNISIE

Abstract

Calcification of JJ catheter post renal transplantation about two cases

Wissal Sahtout 1, Sidena Emah1, Ahmed Loghmari 3, Awatef Azzabi1, Rihem DAHMANE1, Sanda Mrabet1, Raja Boukadida 1, Olfa Mahfoudh1, Yosra Guedri1, Amira Ben afia2, Narjess Ben Aicha1, Dorsaf Zellama 1.

1Nephrology department, Sahloul hospital , Sousse , Tunisia; 2Radiology, Sahloul hospital , Sousse, Tunisia; 3Urology, Sahloul hospital , Sousse , Tunisia

Background and Aims: Renal transplantation is the treatment of choice for end-stage renal failure, offering improved survival and quality of life. Nevertheless, the course of the disease can be marred by a number of incidents, particularly of a urological nature. Indeed, during renal transplant surgery, some teams use JJ catheters to drain the urinary tract and protect the uretero-vesical anastomosis, as in the case of our patients. Method: We report two cases of early calcification of double JJ catheters after renal transplant surgery. Results: Case N° 1 Man aged 49, chronic renal insufficiency of undetermined cause; renal transplantation in March 2023 from a living donor; postoperative evolution was favorable; after 40 days of surgery, he was hospitalized for anuric acute renal failure (ARF) although there was a JJ catheter that appeared calcified on CT scan. A second JJ catheter was inserted, and the first catheter was removed with great difficulty and effort, as it showed a series of calcifications. Resumption of diuresis and recovery of renal function postoperatively. Case N°2 An 18-year-old girl underwent renal transplantation in October 2022 from a cadaveric donor. Her initial nephropathy was nephronphthisis. Post-transplant follow-up was straightforward and the patient was discharged after a 3-week stay. After removal of the JJ, she developed obstructive AKI due to urethral stenosis, hence the indication for ureteroureteral reimplantation and placement of the JJ, which calcified after 2 months. Conclusion: The inlaying of double J catheters is responsible for morbidity in addition to intolerance phenomena. Factors predictive of calcification have been subdivided into three groups: factors related to patient characteristics, factors related to the double J catheter and biological factors.

References:

[1] JJ catheter
[2] Calcification
[3] Kidney transplantation

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