title: Percutaneous nephrolithotomy directly through an angiomyolipoma.
abstract: We present a patient with tuberous sclerosis and bilateral angiomyolipomas with a right partial staghorn calculi in which the calculi was managed with a percutaneous nephrolithotomy. Despite the inherent risk of hemorrhage with a percutaneous approach compounded by the fact that this was done directly through a tumor, we were able to render the patient stone free with no intraoperative bleeding, complications, or the need for postoperative blood transfusion. To our knowledge, this is the first reported case of percutaneous nephrolithotomy directly through a renal angiomyolipoma.
authors.affiliation: Indiana University School of Medicine, Indianapolis, Indiana.
authors.forename: B P
authors.initials: BP
authors.lastname: Kropp
authors.forename: M D
authors.initials: MD
authors.lastname: Dabagia
authors.forename: J W
authors.initials: JW
authors.lastname: Scott
authors.forename: J E
authors.initials: JE
authors.lastname: Lingeman
mesh_terms: D018207:Angiomyolipoma / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging; D007669:Kidney Calculi / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D007680:Kidney Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000379:methods; D014057:Tomography, X-Ray Computed