[Percutaneous nephrolithotomy for coralliform lithiasis in a patient with bilateral triplicated ureters].
We report on a rare case of bilateral ureteral triplicity with a definitive urinary diversion (Brickner loop ureteroileostomy) who presented a staghorn stone in the upper calyx of the left kidney. The patient was submitted to percutaneous nephrolithotomy with direct access to the upper calyx of the anomalous kidney. We discuss the indication for this treatment, which resolved the lithiasis in a single session and with no complications. Furthermore, this treatment modality is compared with ESWL and open surgery, which we reserve for failures or those cases where the percutaneous approach is contraindicated. Percutaneous nephrolithotomy can be considered a therapeutic alternative for lithiasis in patients with congenital malformation and/or urinary diversion.
Borrego Hernando
J
J
Servicio de Urología, Hospital Ramón y Cajal, España.
Fernández Fernández
E
E
Galmes
I
I
Del Hoyo
J
J
Lovaco Castellanos
F
F
García Cuerpo
E
E
Escudero Barrilero
A
A
D000328:Adult; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000150:complications / Q000628:therapy*; D007670:Kidney Calices; D009403:Nephrostomy, Percutaneous; D014513:Ureter / Q000002:abnormalities*
Nefrolitotomía percutánea por litiasis coraliforme en paciente con triplicidad ureteral bilateral.