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  • Title: A case of staghorn stones in a kidney with an ileal ureter treated by percutaneous nephrolithotomy.
    Author: Gao X, Zhou T, Li J, Sun Y.
    Journal: Nat Clin Pract Urol; 2008 Dec; 5(12):686-90. PubMed ID: 18839013.
    Abstract:
    BACKGROUND: A 59-year-old man was admitted to hospital for investigation of a 1-year history of intermittent hematuria. He had undergone ileal ureteral replacement for left renal stones 36 years earlier. INVESTIGATIONS: Renal ultrasonography, physical examination, abdominal plain radiography, intravenous urography, CT urography, measurement of serum levels of creatinine, urea and electrolytes, renal scintigraphy, urinalysis and urine culture. DIAGNOSIS: Staghorn calculi in the left kidney, with a high-lying anastomosis between the renal pelvis and the proximal ileal segment. MANAGEMENT: The patient underwent percutaneous nephrolithotomy via a middle-calyx access for the large staghorn stones. After surgery, no residual calculi were found and the patient was discharged with an uneventful postoperative course. At 1 month, renal scintigraphy showed normal bilateral kidney function. The patient received potassium citrate supplementation and was followed up with 6-monthly imaging studies. At the last report, he had been stone-free for 7 months.
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