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Giant kidney stone: multi-session percutaneous nephrolithotomy with 12 accesses.

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Summary

A giant kidney stone causing flank pain was successfully removed using percutaneous nephrolithotomy (PNL). This minimally invasive procedure preserved kidney function, offering a viable treatment for large renal calculi.

Keywords:
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Area of Science:

  • Nephrology
  • Urology
  • Surgical Case Report

Background:

  • Giant kidney stones, specifically coralliform calculi, pose significant clinical challenges.
  • Percutaneous nephrolithotomy (PNL) is a primary treatment modality for large renal stones.

Purpose of the Study:

  • To report a case of successful management of a giant coralliform kidney stone.
  • To evaluate the efficacy and renal function preservation of PNL in such cases.

Main Methods:

  • A 37-year-old male patient with flank pain underwent non-contrast abdominopelvic CT.
  • Diagnosis of a giant coralliform calculus in the left kidney was confirmed.
  • Treatment involved 3 sessions of percutaneous nephrolithotomy (PNL) with 12 accesses.

Main Results:

  • Successful removal of the giant coralliform kidney stone was achieved.
  • No significant reduction in the ipsilateral split renal function was observed post-PNL.
  • The patient's flank pain resolved after the intervention.

Conclusions:

  • Percutaneous nephrolithotomy (PNL) is an effective treatment for giant coralliform kidney stones.
  • PNL can successfully manage large renal calculi while preserving kidney function.
  • This case highlights the safety and efficacy of PNL in complex nephrolithiasis.