Laparoscopic Nephrolithotomy in a Horseshoe Kidney

Breish, Mohamed O; Sarnaik, Siddharth; Sriprasad, Seshadri; Hamdoon, Musaab

doi:10.7759/cureus.7099

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…Treatment strategies for horseshoe kidney stones include extracorporeal shock wave lithotripsy[ 2 ], laparoscopic lithotripsy[ 3 ], F-URS lithotripsy[ 4 ], and percutaneous nephrolithotripsy[ 5 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

Bilateral hematoma after tubeless percutaneous nephrolithotomy for unilateral horseshoe kidney stones: A case report

Zhou¹,

Yan²,

Cheng³

et al. 2021

WJCC

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BACKGROUND Bilateral perirenal hematoma is rarely reported in endoscopic management of horseshoe kidney stones, and there are few studies reporting the formation of bilateral hematoma following tubeless percutaneous nephrolithotomy (PCNL) for unilateral horseshoe kidney calculi. CASE SUMMARY A 32-year-old man was admitted to our hospital because of repeated intermittent hematuria for 10 years. Plain abdominal computed tomography (CT) scan revealed calculi in the horseshoe kidney; the largest being 2 cm in diameter. Tubeless PCNL was performed to remove the stones. Three days after the operation, the patient was discharged in a stable situation. Three days after discharge, the patient presented to our emergency department because of right low back pain and vomiting. Emergent CT scan revealed subcapsular and perirenal hematocele and exudates in both kidneys. Ultrasound-guided puncture and drainage of perirenal effusion were performed. After the temperature stabilized, the patient received low-pressure injection of urokinase 100000 U for 3 d. His routine blood indexes and the renal function returned to normal in 3 wk. CT re-examination 3 mo after lithotripsy showed that the subcapsular and perirenal hematoma and exudates in both kidneys were significantly absorbed as compared with those before. The patient was followed up for 1 year, during which no flank pain or hematuria recurred. CONCLUSION This is the first case report on the formation of bilateral hematoma following tubeless PCNL for unilateral horseshoe kidney calculi.

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Section: Discussionmentioning

confidence: 99%

Bilateral hematoma after tubeless percutaneous nephrolithotomy for unilateral horseshoe kidney stones: A case report

Zhou¹,

Yan²,

Cheng³

et al. 2021

WJCC

View full text Add to dashboard Cite

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Low Intraoperative Bleeding During Laparoscopic Nephrolithotomy: A Case Report

Sulaiman Lubis,

Zulfan Hendri,

Dharma Kadar

et al. 2024

Nephro-Urol Mon

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: Renal stone disease is one of the most common conditions in urology. For renal stones larger than two centimeters, percutaneous nephrolithotomy (PCNL) is the primary treatment choice. Percutaneous nephrolithotomy provides the best stone-free rate compared to other modalities. However, PCNL can be challenging, especially in cases involving thick renal parenchyma, which may lead to internal organ bleeding. Additionally, PCNL requires highly advanced instruments, which may not always be available nationwide. Laparoscopic nephrolithotomy is a widely available surgical option that may offer similar benefits to PCNL. However, laparoscopic nephrolithotomy carries a higher risk of intraoperative bleeding compared to PCNL and open nephrolithotomy. A 45-year-old male presented to the emergency department with colic pain in the right flank persisting for over a year. Nephrolithiasis was diagnosed based on a KUB X-Ray and an abdominal CT scan. Laparoscopic nephrolithotomy with a small incision was performed, utilizing a hypotensive technique by anesthesia to reduce intraoperative bleeding. There were no perioperative complications, and 300 cc of blood loss was recorded intraoperatively. Laparoscopic nephrolithotomy proved to be a safe and effective treatment for renal stones in patients with thick renal parenchyma.

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Laparoscopic Nephrolithotomy in a Horseshoe Kidney

Abstract: Breish et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Cited by 2 publications

References 13 publications

Bilateral hematoma after tubeless percutaneous nephrolithotomy for unilateral horseshoe kidney stones: A case report

Bilateral hematoma after tubeless percutaneous nephrolithotomy for unilateral horseshoe kidney stones: A case report

Low Intraoperative Bleeding During Laparoscopic Nephrolithotomy: A Case Report

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