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A giant renal calculus treated without nephrectomy
Y Bayazit1, I A Aridoğan, S Zeren
1Department of Urology, Faculty of Medicine, Cukurova University, TR-01330 Balcali, Adana, Turkey. bayazit@mail.cu.edu.tr
Urologia Internationalis
|October 13, 2001
Summary
A massive 770g kidney stone in a single functioning kidney was successfully removed. This case highlights a novel treatment for giant renal calculi without sacrificing the kidney.
Area of Science:
- Nephrology
- Urology
- Surgical Case Reports
Background:
- Giant renal calculi pose significant clinical challenges.
- Management is complex, especially in solitary functioning kidneys.
Observation:
- A 57-year-old male presented with severe right lumbar pain and hematuria.
- A giant renal calculus (770g) was diagnosed in his solitary right kidney.
Findings:
- The patient underwent successful transcatheter embolization for intractable hematuria.
- Subsequent right anatrophic nephrolithotomy removed the giant stone.
- The patient recovered without complications and preserved kidney function.
Implications:
- This is the first reported case of a giant renal calculus in a solitary functioning kidney treated successfully without nephrectomy.
- This approach offers a potential kidney-sparing alternative for complex stone cases.
- The case contributes valuable data to the literature on managing extreme renal calculi.