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Laparoscopic nephrolithotomy in a patient with crossed fused renal ectopia.
- Source :
-
Nature reviews. Urology [Nat Rev Urol] 2009 Dec; Vol. 6 (12), pp. 675-9. - Publication Year :
- 2009
-
Abstract
- Background: A 32-year-old man was referred to a tertiary care center for stone management. The patient had initially presented to his primary physician 3 months earlier with right flank pain of 2 month's duration. Abdominopelvic ultrasonography and intravenous urography had revealed left-to-right crossed fused renal ectopia with a 25 mm opaque stone in the crossed kidney. The patient had received two sessions of extracorporeal shock wave lithotripsy, which had failed to remove the renal stone.<br />Investigations: Noncontrast CT, blood tests (hemoglobin and creatinine levels), abdominopelvic ultrasonography and intravenous urography.<br />Diagnosis: Left-to-right crossed fused ectopia with a 25 mm opaque renal stone in the anomalous kidney.<br />Management: The patient underwent laparoscopic nephrolithotomy to remove the renal stone. Intravenous urography and abdominopelvic ultrasonography 1 month after surgery confirmed that the patient was stone free and had functional renal units. The patient will be followed up every 3 months with abdominopelvic ultrasonography for early detection of stone recurrence.
Details
- Language :
- English
- ISSN :
- 1759-4820
- Volume :
- 6
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Nature reviews. Urology
- Publication Type :
- Academic Journal
- Accession number :
- 19956197
- Full Text :
- https://doi.org/10.1038/nrurol.2009.198