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

作者信息

Kodama Koichi, Takase Yasukazu, Motoi Isamu

机构信息

Department of Urology, Toyama City Hospital, Toyama, Japan.

出版信息

Indian J Urol. 2012 Oct;28(4):442-4. doi: 10.4103/0970-1591.105770.

DOI:10.4103/0970-1591.105770
PMID:23450153
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3579129/
Abstract

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.

摘要

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本文引用的文献

1
Extracorporeal shock wave lithotripsy-induced retroperitoneal hemorrhage in a case of upper ureteral calculus with angiomyolipoma.
Urol J. 2011 Winter;8(1):72-4.
2
Should percutaneous nephrolithotripsy be considered the primary therapy for lower pole stones?经皮肾镜碎石术是否应作为下极结石的主要治疗方法?
J Endourol. 2010 Feb;24(2):219-22. doi: 10.1089/end.2008.0345.
3
Combined electrohydraulic and holmium:YAG laser ureteroscopic nephrolithotripsy of large (greater than 4 cm) renal calculi.联合电液压与钬激光:YAG激光输尿管镜下治疗大(大于4厘米)肾结石
J Urol. 2007 Jan;177(1):168-73; discussion173. doi: 10.1016/j.juro.2006.08.066.
4
Complications in percutaneous nephrolithotomy.经皮肾镜取石术的并发症
Eur Urol. 2007 Apr;51(4):899-906; discussion 906. doi: 10.1016/j.eururo.2006.10.020. Epub 2006 Oct 25.
5
Renal manifestations of tuberous sclerosis complex: Incidence, prognosis, and predictive factors.结节性硬化症的肾脏表现:发病率、预后及预测因素。
Kidney Int. 2006 Nov;70(10):1777-82. doi: 10.1038/sj.ki.5001853. Epub 2006 Sep 27.
6
Management of lower pole renal calculi: shock wave lithotripsy versus percutaneous nephrolithotomy versus flexible ureteroscopy.下极肾结石的治疗:冲击波碎石术与经皮肾镜取石术与软性输尿管镜检查术的对比
Urol Res. 2006 Apr;34(2):108-11. doi: 10.1007/s00240-005-0020-6. Epub 2006 Feb 7.
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Percutaneous nephrolithotomy with renal angiomyolipomas: a rare challenge.
J Endourol. 1999 Feb;13(1):27-30. doi: 10.1089/end.1999.13.27.
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Percutaneous nephrolithotomy directly through an angiomyolipoma.
Urology. 1994 Dec;44(6):915-7. doi: 10.1016/s0090-4295(94)80183-5.