Percutaneous nephrolithotomy of a staghorn calculus in a patient with renal angiomyolipoma
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 w...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Urology Annals |
| Subjects: | |
| Online Access: | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2019;volume=11;issue=2;spage=229;epage=231;aulast=Jalal |
| _version_ | 1818490695144439808 |
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| author | Akbar Jalal Abdolsalam Ahmadi Mohamed Mubarak Ameer Al Arrayedh Sharif Al Arrayedh |
| author_facet | Akbar Jalal Abdolsalam Ahmadi Mohamed Mubarak Ameer Al Arrayedh Sharif Al Arrayedh |
| author_sort | Akbar Jalal |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-10T17:20:25Z |
| format | Article |
| id | doaj.art-57043cbfcfcd4402b418e3530ea8eb12 |
| institution | Directory Open Access Journal |
| issn | 0974-7796 0974-7834 |
| language | English |
| last_indexed | 2024-12-10T17:20:25Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Urology Annals |
| spelling | doaj.art-57043cbfcfcd4402b418e3530ea8eb122022-12-22T01:39:59ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342019-01-0111222923110.4103/UA.UA_148_18Percutaneous nephrolithotomy of a staghorn calculus in a patient with renal angiomyolipomaAkbar JalalAbdolsalam AhmadiMohamed MubarakAmeer Al ArrayedhSharif Al ArrayedhRenal 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.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2019;volume=11;issue=2;spage=229;epage=231;aulast=JalalAngiomyolipomapercutaneous nephrolithotomystaghorn calculusultrasound-guided percutaneous nephrolithotomy |
| spellingShingle | Akbar Jalal Abdolsalam Ahmadi Mohamed Mubarak Ameer Al Arrayedh Sharif Al Arrayedh Percutaneous nephrolithotomy of a staghorn calculus in a patient with renal angiomyolipoma Urology Annals Angiomyolipoma percutaneous nephrolithotomy staghorn calculus ultrasound-guided percutaneous nephrolithotomy |
| title | Percutaneous nephrolithotomy of a staghorn calculus in a patient with renal angiomyolipoma |
| title_full | Percutaneous nephrolithotomy of a staghorn calculus in a patient with renal angiomyolipoma |
| title_fullStr | Percutaneous nephrolithotomy of a staghorn calculus in a patient with renal angiomyolipoma |
| title_full_unstemmed | Percutaneous nephrolithotomy of a staghorn calculus in a patient with renal angiomyolipoma |
| title_short | Percutaneous nephrolithotomy of a staghorn calculus in a patient with renal angiomyolipoma |
| title_sort | percutaneous nephrolithotomy of a staghorn calculus in a patient with renal angiomyolipoma |
| topic | Angiomyolipoma percutaneous nephrolithotomy staghorn calculus ultrasound-guided percutaneous nephrolithotomy |
| url | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2019;volume=11;issue=2;spage=229;epage=231;aulast=Jalal |
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