Bilateral duplex kidney and ureter with multiple stones: a case report.
Guoqing Liu1, Xin Zhang1, Xinyuan Yu1
1School of Clinical Medicine, Shandong Second Medical University, Weifang, China.
BMC Urology
|October 12, 2024
Summary
Bilateral duplicated kidney and ureter with multiple stones is rare. Treatment involves procedures like ureteroscopic lithotripsy or percutaneous nephrolithotomy, often requiring multiple interventions.
Area of Science:
- Urology
- Medical Diagnostics
- Surgical Interventions
Background:
- Bilateral duplicated kidney and ureter is a rare congenital anomaly.
- Simultaneous multiple stones in this condition are exceptionally uncommon.
- This case presents a unique diagnostic and therapeutic challenge.
Observation:
- A 47-year-old male presented with bilateral duplex kidneys and ureters complicated by multiple stones.
- The patient had a complete duplication on the left and incomplete on the right.
- Diagnostic workup confirmed the complex anatomical variations and stone burden.
Findings:
- Successful management using a combination of ureteral flexible lithotripsy and percutaneous nephrolithotomy.
- The patient was discharged five days post-procedure without discomfort.
- Follow-up at three months showed no evidence of stone recurrence.
Implications:
- This case highlights successful treatment strategies for rare urological conditions.
- Management requires tailored approaches, potentially involving multiple surgical procedures.
- Effective stone removal is achievable with appropriate therapeutic choices based on patient condition.
Related Concept Videos
01:25Urinary Tract Calculi VI: Surgical Management
2
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
2
01:30Urinary Tract Calculi III: Medical Management
2
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
2
01:26Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
2
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
2
01:28Urinary Tract Calculi V: Nursing Management
2
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
2
01:28Urinary Tract Calculi I: Introduction
2
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
2
01:45Kidney Structure
69.0K
The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
69.0K