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- Title
Percutaneous nephrolithotomy of a staghorn calculus in a patient with renal angiomyolipoma.
- Authors
Jalal, Akbar; Ahmadi, Abdolsalam; Mubarak, Mohamed; Al Arrayedh, Ameer; Al Arrayedh, Sharif
- Abstract
Renal angiomyolipoma (AML) is the most common benign renal tumor and is prevalent in around 0.2%-0.6% of the population. Its main associated risk is bleeding. It is uncommon that AML presents simultaneously with a staghorn calculus requiring percutaneous nephrolithotomy (PCNL) for stone resolution with only two previously reported cases. In this case, we present a 41-year-old female patient who presented with a 2-year complaint of left flank pain and hematuria. Following investigation, the patient had a large staghorn calculus in the left kidney and an incidental finding of a large AML in the ipsilateral kidney. A single puncture was made under ultrasound guidance, to avoid any form of injury to the AML, and complete stone clearance was achieved through a single tract only. Although the concurrence of AML with a renal calculus requiring PCNL presents a clinical challenge, using ultrasound guidance for stone clearance is a safe and successful means of management with minimal exposure to radiation.
- Subjects
PERCUTANEOUS nephrolithotomy; ANGIOMYOLIPOMA; KIDNEY stones; BENIGN tumors; RADIATION exposure; WOMEN patients
- Publication
Urology Annals, 2019, Vol 11, Issue 2, p229
- ISSN
0974-7796
- Publication type
Article
- DOI
10.4103/UA.UA_148_18