Challenging management of coralliform kidney and ureteral stones
Abstract
Coralliform kidney stones represent a severe form of nephrolithiasis, posing significant challenges due to their size and associated complications, such as recurrent infections and renal impairment. We present the case of a 34-year-old female with chronic venous disease, anemia, and recurrent Escherichia coli urinary tract infections, who was diagnosed with a right-sided coralliform renal calculus and a ureteral pelvic stone. The management included semi-rigid ureteroscopy with laser lithotripsy for the ureteral stone, percutaneous nephrolithotomy (PCNL) for the coralliform stone, and placement of a ureteral stent. Despite anatomical challenges during PCNL, residual stones were addressed via staged extracorporeal shock wave lithotripsy. This case highlights the complexity of surgical management in advanced nephrolithiasis and the necessity for a multidisciplinary approach.
##plugins.themes.bootstrap3.article.details##
coralliform kidney stones, percutaneous nephrolithotomy (PCNL), ureteral lithiasis, extracorporeal shock wave lithotripsy (ESWL), ureteroscopy
2. Pearle MS, Preminger GM, Assimos DG, et al. Medical management of kidney stones: AUA guideline. J Urol. 2014;192(2):316-324. doi: 10.1016/j.juro.2014.05.006. PMID: 24857648.
3. Preminger GM, Assimos DG, Lingeman JE, et al. Chapter 1: AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations. J Urol. 2005 Jun;173(6):1991-2000. doi: 10.1097/01.ju.0000161171.67806.2a. PMID: 15879803.
4. Chibber PJ. Percutaneous nephrolithotomy for large and staghorn calculi. J Endourol. 1993 Aug;7(4):293-5. doi: 10.1089/end.1993.7.293. PMID: 8252021.
5. Ganpule AP, Naveen Kumar Reddy M, Sudharsan SB, et al. Multitract percutaneous nephrolithotomy in staghorn calculus. Asian J Urol. 2020 Apr;7(2):94-101. doi: 10.1016/j.ajur.2019.10.001. PMID: 32257801; PMCID: PMC7096673.
6. Setthawong V, Srisubat A, Potisat S, et al. Extracorporeal shock wave lithotripsy (ESWL) versus percutaneous nephrolithotomy (PCNL) or retrograde intrarenal surgery (RIRS) for kidney stones. Cochrane Database Syst Rev. 2023 Aug 1;8(8):CD007044. doi: 10.1002/14651858.CD007044.pub4. PMID: 37526261; PMCID: PMC10392035.
7. Wirth MP, Theiss M, Frohmüller HG. Primary extracorporeal shock wave lithotripsy of staghorn renal calculi. Urol Int. 1992;48(1):71-5. doi: 10.1159/000282300. PMID: 1598738.
8. Li R, Ruckle D, Keheila M, et al. High-Frequency Dusting Versus Conventional Holmium Laser Lithotripsy for Intrarenal and Ureteral Calculi. J Endourol. 2017 Mar;31(3):272-277. doi: 10.1089/end.2016.0547. PMID: 27960541.
9. Chaussy CG, Tiselius HG. How can and should we optimize extracorporeal shockwave lithotripsy? Urolithiasis. 2018 Feb;46(1):3-17. doi: 10.1007/s00240-017-1020-z. Epub 2017 Nov 25. PMID: 29177561; PMCID: PMC5773650.
10. Rajamahanty S, Grasso M. Flexible ureteroscopy update: indications, instrumentation and technical advances. Indian J Urol. 2008 Oct;24(4):532-7. doi: 10.4103/0970-1591.44263. PMID: 19468513; PMCID: PMC2684394.
11. Lopes Neto AC, Korkes F, Silva JL 2nd, et al. Prospective randomized study of treatment of large proximal ureteral stones: extracorporeal shock wave lithotripsy versus ureterolithotripsy versus laparoscopy. J Urol. 2012 Jan;187(1):164-8. doi: 10.1016/j.juro.2011.09.054. PMID: 22100003.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Archive of Clinical Cases is protected by copyright and may be used in accordance with copyright and other applicable laws. Content available at www.clinicalcases.eu and our digital applications is intended for personal noncommercial use.
Authors who submit a manuscript for publication in Archive of Clinical Cases agree to the following terms: a. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal. b. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal. c. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) only after the final version of the manuscript was accepted and published, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). d. It is compulsory that before submission authors ensure that their work was not published in any other medical journals or pending acceptance for publication and that "Archives of Clinical Cases" is the only beneficiary at that moment if their work/case will be accepted by us.
Guidelines for linking to www.clinicalcases.eu a. The main purpose of the site linking to the Archive of Clinical Casess site should be educational. b. Links should be made to the Archive of Clinical Casess home page (www.clinicalcases.eu) or to the articles abstract. c. It is forbidden to use the Archive of Clinical Casess cover by outside organizations unless permission has been granted in advance, notifying our Secretary. d. Material owned by the Archive of Clinical Cases (including the name, logo, cover, and text) may not be used in any manner that may induce the idea or suggest that the Archive of Clinical Cases is in some way recommending a specific company, product or service. e. You must not use or allow others to access or use, all or any part of our Site or the contents and/or applications on it for commercial purposes without our permission. To seek permission to do anything prohibited by or not contained in these TERMS, or which requires our prior consent or agreement, you can contact us.