title: The dissolution of multiple renal uric acid stones via percutaneous nephrostomy in the patient with a solitary kidney.
abstract: BACKGROUND
  The dissolution of urinary stones could be performed in the patients with urinary obstruction caused by phosphate, or uric acid stones, through the percutaneous nephrostomy (PCN).
  
  
  METHODS
  A 27-year-old woman with complete obstruction of the solitary left kidney due to uric acid stones is presented. The woman was admitted in emergency unit due to anuria. Five days after PCN, irrigation with 1.6% sodium bicarbonate solution was initiated. Due to complete ureteral obstruction, the "Y" extension with the valve was connected to PCN and to the urinary bag, which enabled the patient to perform intermittent self-irrigation. After 12 days of irrigation, all the stones dissolute and ceased.
  
  
  CONCLUSIONS
  In the era of ESWL, PCNL and ureterorenoscopy, PCN-dissolution of urinary stones is rare procedure. However, this minimally invasive procedure could be successfully performed in selected cases.
authors: Clinical Center of Serbia, Belgrade, Serbia.
authors: Tomislav
authors: T
authors: Pejcić
authors: Biljana
authors: B
authors: Marković
authors: Ljubomir
authors: L
authors: Djurasić
authors: Helena
authors: H
authors: Maksimović
authors: Cedomir
authors: C
authors: Topuzović
authors: Zoran
authors: Z
authors: Dzamić
authors: Jovan
authors: J
authors: Hadzi-Djokić
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000628:therapy*; D009392:Nephrectomy; D009403:Nephrostomy, Percutaneous; D011704:Pyelonephritis / Q000601:surgery; D017693:Sodium Bicarbonate / Q000008:administration & dosage*; D007507:Therapeutic Irrigation; D014527:Uric Acid
chemical_list: D014527:Uric Acid; D017693:Sodium Bicarbonate