Complete Renal Allograft Calcification

Cormio, Luigi; Selvaggio, Oscar; Stallone, Giovanni; Infante, Barbara; Di Fino, Giuseppe; Gesualdo, Loreto; Carrieri, Giuseppe

doi:10.1016/j.urology.2009.04.035

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Volume 74, Issue 5 , Page 1019, November 2009

Complete Renal Allograft Calcification

Luigi Cormio
- Department of Urology and Kidney Transplant, University of Foggia, Foggia, Italy
- Department of Nephrology and Renal Transplantation, University of Foggia, Foggia, Italy
Oscar Selvaggio
- Department of Urology and Kidney Transplant, University of Foggia, Foggia, Italy
- Department of Nephrology and Renal Transplantation, University of Foggia, Foggia, Italy
- Reprint requests: Oscar Selvaggio, Ph.D., Department of Urology and Renal Transplant, University of Foggia, Foggia, Italy
Giovanni Stallone
- Department of Urology and Kidney Transplant, University of Foggia, Foggia, Italy
- Department of Nephrology and Renal Transplantation, University of Foggia, Foggia, Italy
Barbara Infante
- Department of Urology and Kidney Transplant, University of Foggia, Foggia, Italy
- Department of Nephrology and Renal Transplantation, University of Foggia, Foggia, Italy
Giuseppe Di Fino
- Department of Urology and Kidney Transplant, University of Foggia, Foggia, Italy
- Department of Nephrology and Renal Transplantation, University of Foggia, Foggia, Italy
Loreto Gesualdo
- Department of Urology and Kidney Transplant, University of Foggia, Foggia, Italy
- Department of Nephrology and Renal Transplantation, University of Foggia, Foggia, Italy
Giuseppe Carrieri
- Department of Urology and Kidney Transplant, University of Foggia, Foggia, Italy
- Department of Nephrology and Renal Transplantation, University of Foggia, Foggia, Italy

Received 4 February 2009; accepted 13 April 2009. published online 16 July 2009.

A 37-year-old man with end-stage renal disease, despite having received cadaveric renal transplants in 1991 and 1997, was scheduled for nephrectomy of 1 graft before rescheduling him for a third renal transplant. Computed tomography showed complete calcification of right renal allograft, with no calcification of iliac vessels or other abdominal soft tissue. An extracapsular approach was elected to avoid leaving a calcified renal capsule and troubles in cleaving it from renal parenchyma. Preoperative imaging and familiarity with both extra- and intracapsular technique of graft nephrectomy are essential for urologists called upon to perform such procedure.