Percutaneous nephrolithotomy in a patient with intrarenal arterial aneurysm.
We report the case of a male patient with a left renal pelvic stone 2.5 cm in maximum diameter and a large upper pole intrarenal arterial aneurysm on the same side. The stone was treated with percutaneous nephrolithotomy (PCNL). This procedure was feasible even in this difficult clinical setting. Puncture of a calyx located at a safe distance from the aneurysm and meticulous surgical technique were essential in realizing the best possible outcome. To our knowledge, this is the first case of PCNL performed on a patient with a renal stone and an intrarenal arterial aneurysm.
Giannakopoulos
Stilianos
S
Department of Urology, Democritus University of Thrace, Dragana, 68100, Alexandroupolis, Greece. stgian@otenet.gr
Pantazis
Thrasivoulos
T
Souftas
Vasilios D
VD
Kalaitzis
Christos
C
Antoniou
Dimitra E
DE
Touloupidis
Stavros
S
D000368:Aged; D000783:Aneurysm / Q000150:complications*; D006801:Humans; D007669:Kidney Calculi / Q000150:complications* / Q000628:therapy*; D007682:Kidney Pelvis; D008297:Male; D009403:Nephrostomy, Percutaneous; D012077:Renal Artery