Presentation
Primary hyperoxaluria and end-stage renal disease. Persistent pus drainage through a right lower quadrant cutaneous orifice after removal of a rejected transplanted kidney.
Patient Data
Age: 35 years
Gender: Female
From the case:
Post renal transplant sinus tract (CT fistulography)








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Info

- large sinus tract starts from the RLQ orifice traversing the right paracolic space with communication to the right psoas muscle
- bilateral medullary and cortical nephrocalcinosis
- large hyperdense stone along with right kidney mid to upper pole
- diffuse bony sclerosis
Case Discussion
Primary hyperoxaluria is a rare autosomal recessive inborn error of metabolism that leads to elevation of oxalate in serum and urine and characterises by calcium oxalate crystal deposition in multiple organ systems (oxalosis).