Giannakopoulos Stilianos, Pantazis Thrasivoulos, Souftas Vasilios D, Kalaitzis Christos, Antoniou Dimitra E, Touloupidis Stavros
Department of Urology, Democritus University of Thrace, Dragana, 68100, Alexandroupolis, Greece.
Urol Res. 2010 Feb;38(1):57-60. doi: 10.1007/s00240-009-0231-3. Epub 2009 Nov 26.
We report the case of a male patient with a left renal pelvic stone 2.5 cm in maximum diameter and a large upper pole intrarenal arterial aneurysm on the same side. The stone was treated with percutaneous nephrolithotomy (PCNL). This procedure was feasible even in this difficult clinical setting. Puncture of a calyx located at a safe distance from the aneurysm and meticulous surgical technique were essential in realizing the best possible outcome. To our knowledge, this is the first case of PCNL performed on a patient with a renal stone and an intrarenal arterial aneurysm.
我们报告了一例男性患者，其左肾盂结石最大直径为2.5厘米，且同侧肾上极存在一个大型肾内动脉动脉瘤。该结石采用经皮肾镜取石术（PCNL）进行治疗。即使在这种困难的临床情况下，该手术也是可行的。在距动脉瘤安全距离处穿刺肾盏并采用精细的手术技术对于实现最佳治疗效果至关重要。据我们所知，这是首例对患有肾结石和肾内动脉动脉瘤的患者实施经皮肾镜取石术的病例。
