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双侧重复肾伴梗阻性结石：1例极其罕见的病例报告及文献复习

Bilateral supernumerary kidney with an obstructive calculus: An extremely rare case report and literature review.

作者信息

Ibrahim Ismail Gedi, Nur-Amin Mohamed Abdikarim, Osman Ahmed Adam, Mohamed Abdikarin Ahmed, Dirie Abdikadir Mohamed, Mohamed Abdkarim Hussein

机构信息

Mogadishu Somalia Turkish Training and Research Hospital, Mogadishu, Somalia.

University of Somalia, Mogadishu, Somalia.

出版信息

Urol Case Rep. 2024 Apr 13;54:102734. doi: 10.1016/j.eucr.2024.102734. eCollection 2024 May.

DOI:10.1016/j.eucr.2024.102734
PMID:38655149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11035088/
Abstract

Bilateral supernumerary kidneys and associated urinary stone disease are rarely seen in clinical practice, and only three cases have been reported in the literature to date. We report a 15-year-old male patient having a bilateral supernumerary kidney with an obstructive left ureteric stone successfully managed with retrograde intrarenal surgery. Stones in such anomalous kidneys pose a challenge for the urologist, and imaging is essential for surgical intervention planning. RIRS with holmium laser lithotripsy is a safe and effective treatment with a high single-stage stone-free rate and low complication rate in experienced hands.

摘要

双侧额外肾及相关尿路结石病在临床实践中很少见，迄今为止文献中仅报道过3例。我们报告了一名15岁男性患者，患有双侧额外肾并伴有左侧输尿管梗阻性结石，通过逆行肾内手术成功治疗。这种异常肾脏中的结石给泌尿外科医生带来了挑战，而影像学检查对于手术干预规划至关重要。在经验丰富的医生操作下，钬激光碎石术的逆行肾内手术是一种安全有效的治疗方法，单次手术结石清除率高且并发症发生率低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d4/11035088/66fd79cc12cf/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d4/11035088/c08cf7fa7505/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d4/11035088/100e526ed0a1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d4/11035088/34769985a835/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d4/11035088/66fd79cc12cf/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d4/11035088/c08cf7fa7505/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d4/11035088/100e526ed0a1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d4/11035088/34769985a835/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d4/11035088/66fd79cc12cf/gr4.jpg

相似文献

1
Bilateral supernumerary kidney with an obstructive calculus: An extremely rare case report and literature review.双侧重复肾伴梗阻性结石：1例极其罕见的病例报告及文献复习
Urol Case Rep. 2024 Apr 13;54:102734. doi: 10.1016/j.eucr.2024.102734. eCollection 2024 May.
2
Supernumerary Kidney with Stone: Successfully Managed with Semirigid Ureteroscopy and Laser Lithotripsy.重复肾伴结石：经半硬性输尿管镜及激光碎石术成功治疗
J Endourol Case Rep. 2019 Aug 30;5(3):92-95. doi: 10.1089/cren.2019.0006. eCollection 2019.
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Improving Outcomes of Same-sitting Bilateral Flexible Ureteroscopy for Renal Stones in Real-world Practice-Lessons Learnt from Global Multicenter Experience of 1250 Patients.在实际临床实践中提高同期双侧软性输尿管镜治疗肾结石的疗效——来自1250例患者全球多中心经验的教训
Eur Urol Open Sci. 2023 Apr 30;52:51-59. doi: 10.1016/j.euros.2023.03.018. eCollection 2023 Jun.
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Scand J Urol Nephrol. 2006;40(5):380-4. doi: 10.1080/00365590600679269.
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Feasibility of Laser Lithotripsy for Midsize Stones Using Robotic Retrograde Intrarenal Surgery System easyUretero in a Porcine Model.在猪模型中使用机器人逆行肾内手术系统easyUretero进行激光碎石术治疗中型结石的可行性
J Endourol. 2022 Dec;36(12):1586-1592. doi: 10.1089/end.2022.0272. Epub 2022 Aug 17.
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The predictive factors that total laser energy consumed during retrograde intrarenal surgery (RIRS): stone area and density.逆行性肾内手术（RIRS）期间总激光能量消耗的预测因素：结石面积和密度。
Lasers Med Sci. 2023 May 26;38(1):128. doi: 10.1007/s10103-023-03792-4.
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Retrograde ureteroscopic intrarenal surgery for large (1.6-3.5 cm) upper ureteric/renal calculus.逆行输尿管镜下肾内手术治疗大型（1.6 - 3.5厘米）上段输尿管/肾结石。
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Does unenhanced computerized tomography as imaging standard post-retrograde intrarenal surgery paradoxically reduce stone-free rate and increase additional treatment for residual fragments? Outcomes from 5395 patients in the FLEXOR study by the TOWER group.逆行性肾内手术后，将未增强计算机断层扫描作为成像标准是否会反常地降低结石清除率并增加对残留碎片的额外治疗？TOWER组FLEXOR研究中5395例患者的结果。
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Prediction models of low-power holmium laser effectiveness in renal stone lithotripsy during retrograde intrarenal surgery.逆行性肾内手术中钬激光碎石术低能量效率的预测模型。
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[Retrograde intrarenal surgery for kidney diseases].[肾脏疾病的逆行性肾内手术]
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本文引用的文献

1
Challenges and options for management of stones in anomalous kidneys: a review of current literature.异位肾结石管理的挑战与选择：当前文献综述
Ther Adv Urol. 2023 Dec 24;15:17562872231217797. doi: 10.1177/17562872231217797. eCollection 2023 Jan-Dec.
2
Bilaterally Fused Supernumerary Kidneys: A Very Rare Case Report and Review of Literature.双侧融合性额外肾：1例极罕见病例报告及文献复习
Int Med Case Rep J. 2022 Feb 21;15:61-68. doi: 10.2147/IMCRJ.S352605. eCollection 2022.
3
Fused Supernumerary Kidney with Single Pelvis and Ureter; Presenting with Stones: A Case Report and Literature Review.
融合性重复肾伴单一肾盂和输尿管；合并结石：病例报告及文献复习
Res Rep Urol. 2021 Dec 23;13:853-857. doi: 10.2147/RRU.S347328. eCollection 2021.
4
Real-world Global Outcomes of Retrograde Intrarenal Surgery in Anomalous Kidneys: A High Volume International Multicenter Study.真实世界中异常肾脏逆行性肾内手术的全球结局：一项高容量国际多中心研究。
Urology. 2022 Jan;159:41-47. doi: 10.1016/j.urology.2021.10.003. Epub 2021 Oct 29.
5
Bilateral supernumerary kidneys: how much is too much?双侧额外肾：多少才算过多？
BMJ Case Rep. 2014 Apr 1;2014:bcr2013202677. doi: 10.1136/bcr-2013-202677.