Objectives: To report one case of lithiasis transference from the donor associated with renal transplant.
Methods: 53-year-old female with obstructive uropathy within the first post transplant month.
Results/conclusions: Lithiasis transference after transplant is a cause of early obstructive uropathy after kidney transplantation. The low the incidence of lithiasis transference does not justify the performance of x-ray and/or ultrasound of the donor organ in terms of cost effectiveness. Extracorporeal shockwave lithotripsy is a valid therapeutic option on transplanted kidneys.