Adult with primary hyperoxaluria type 1 regrets not receiving preemptive liver transplantation during childhood: report of a case.

[primary hyperoxaluria type 1]

A 32 -year -old male was suspected to have primary hyperoxaluria type 1 (PH 1 ) and eventually underwent liver transplantation (LT ). He was diagnosed with nephrolithiasis at 9 Â years of age . Right heminephrectomy was performed for a staghorn calculus . He underwent urethrotomy for urinary retention at 12 Â years of age . Percutaneous nephrolithotomy was performed for nephrolithiasis when he was 16 Â years of age . He underwent frequent extracorporeal shock wave lithotripsy for recurrent nephrolithiasis from 18 to 24 Â years of age . PH 1 was suspected at 32 Â years of age , and pharmacological therapy was also initiated . He developed renal failure at 36 Â years of age , which was treated with intensive hemodialysis . A definitive diagnosis of PH 1 was made based on a liver needle biopsy 1 Â month later . He received a living-donor LT at 38 Â years of age , and a living-donor kidney transplant from the same donor 8 Â months later . Though he made a good recovery , an early diagnosis and preemptive LT are important for PH 1 patients .