Management of a renal calculus larger than 4 cm in a patient with tuberous sclerosis complex-associated angiomyolipoma

Autor:	Koichi Kodama, Yasukazu Takase, Isamu Motoi
Jazyk:	angličtina
Rok vydání:	2012
Předmět:	Angiomyolipoma flexible ureterorenoscopy nephrolithiasis tuberous sclerosis complex Diseases of the genitourinary system. Urology RC870-923
Zdroj:	Indian Journal of Urology, Vol 28, Iss 4, Pp 442-444 (2012)
Druh dokumentu:	article
ISSN:	0970-1591 1998-3824
DOI:	10.4103/0970-1591.105770
Popis:	Renal calculi in patients with renal angiomyolipomas are difficult to treat because of the hemorrhagic potential of these tumors. We describe the case of a 65-year-old man having tuberous sclerosis complex-associated multifocal renal angiomyolipomas with a large renal calculus. The patient presented with left flank dullness and a previous history of spontaneous angiomyolipoma rupture. Intravenous pyelography revealed a 43 × 16 mm calculus in the pelvis and lower calyx of the left kidney. The calculus was successfully removed by retrograde flexible ureterorenoscopy and holmium-YAG lithotripsy. Flexible ureterorenoscopy is an effective, minimally invasive therapy for patients at high risk of renal hemorrhage.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/b21813d293754373a118d52329aa3994 Zobrazit plný text záznamu View record in DOAJ