A 68-year-old woman was diagnosed to have a left-to-right L-shaped crossed-fused kidney with staghorn calculi in both renal moieties on evaluation for abdominal pain.
She underwent supine percutaneous nephrolithotomy using 3 tracts in 3 stages. By using 3-dimensional reconstructed computed tomography urogram, proper preoperative planning, appropriate patient positioning, ultrasound-guided access, intraoperative traction, and flexible nephroscopy, complete stone clearance can be achieved in seemingly difficult stones in anomalous kidneys.
Written by:
Mishra S, Ganesamoni R, Ganpule AP, Sabnis RB, Desai MR. Are you the author?
Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, India.
Reference: Urology. 2013 Jan;81(1):e3-4.
doi: 10.1016/j.urology.2012.10.003
PubMed Abstract
PMID: 23273097
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