Aggarwal Dharmender, Parmar Kalpesh, Mathew Jeni, Kumar Santosh
Dept of Urology, PGIMER, Chandigarh, India.
Urol Case Rep. 2021 May 7;37:101707. doi: 10.1016/j.eucr.2021.101707. eCollection 2021 Jul.
Duplication of renal system is one of the commonest renal anomalies. It is infrequently associated with renal calculus, ureterocele and vesico ureteric reflux. We report a 29-year male with right complete duplex system having upper moiety multiple ureteric calculi and lower moiety inferior renal calculus. Single sitting fURS was done and calculi in both systems were tackled one at a time. Calculi were dusted with holmium laser and double J stent placed in upper moiety ureter. Calculus management in anomalous kidney is challenging. Single sitting flexible ureterorenoscopy is feasible option in duplex renal system with low burden calculi.
重复肾系统是最常见的肾脏异常之一。它很少与肾结石、输尿管囊肿和膀胱输尿管反流相关。我们报告一例29岁男性，患有右侧完全重复肾系统，上半部分有多发输尿管结石，下半部分有下极肾结石。进行了单次坐位软性输尿管肾镜检查，一次处理一个系统中的结石。用钬激光将结石粉碎，并在上半部分输尿管放置双J支架。处理异常肾脏中的结石具有挑战性。对于结石负荷低的重复肾系统，单次坐位软性输尿管肾镜检查是一种可行的选择。
