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Nephrolithiasis in "back-to-back" kidneys.

Zachary Klaassen1, Ray S King, Sherita A King

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Summary
This summary is machine-generated.

This report details a rare case of fused, pelvic kidneys in a woman with kidney stones. Surgical interventions successfully removed the ureteropelvic junction and lower pole calculi.

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Area of Science:

  • Urology
  • Nephrology
  • Medical Imaging

Background:

  • A 57-year-old woman presented with symptoms of kidney stones.
  • Computed tomography revealed significant calculi in the ureteropelvic junction and lower pole.

Observation:

  • The patient exhibited a rare renal anomaly: fused, pelvic kidneys oriented back-to-back.
  • This represents the first documented instance of this specific renal fusion anomaly.

Findings:

  • Surgical management included robotic pyelolithotomy for the ureteropelvic junction stone.
  • Flexible ureteroscopic laser lithotripsy was performed for the lower pole calculus.

Implications:

  • This case highlights the importance of recognizing rare renal anomalies during stone management.
  • Successful surgical outcomes demonstrate the feasibility of treating complex stone burdens in anomalous renal anatomy.