School of Clinical Medicine, Shandong Second Medical University, Weifang, China.
Department of Urology, Weifang People's Hospital, Weifang, China.
BMC Urol. 2024 Oct 12;24(1):224. doi: 10.1186/s12894-024-01611-8.
Bilateral duplicated kidney and ureter is a rare condition in urology, and it is even rarer for patients to have multiple stones simultaneously. We delineate the diagnostic and therapeutic trajectory of a patient presenting with bilateral duplex kidneys and ureters, characterized by the presence of multiple stones. Notably, the left kidney is a complete duplication, whereas the right kidney exhibits an incomplete duplication.
A 47-year-old male patient was diagnosed with bilateral duplex kidney and ureter combined with multiple stones. Ureteral flexible lithotripsy and percutaneous nephrolithotomy were performed successively in our hospital. On the postoperative five day, he was discharged from the hospital without apparent discomfort.The double J tube was pulled out one month later, and no stone recurrence was found after 3 months of follow-up.
Bilateral duplicated renal ureteral malformations combined with multiple stones are very rare. Stones can be removed by ureteroscopic lithotripsy or percutaneous nephrolithotripsy and sometimes multiple procedures are required, which should be chosen according to the patient's relevant condition.
双侧重复肾和输尿管在泌尿科中是一种罕见的情况，同时患有多个结石的患者则更为罕见。我们描述了一位具有双侧重复肾和输尿管、伴有多个结石的患者的诊断和治疗轨迹。值得注意的是，左肾是完全重复的，而右肾则表现为不完全重复。
一位 47 岁男性患者被诊断为双侧重复肾和输尿管合并多发性结石。患者在我院先后接受了输尿管软镜碎石术和经皮肾镜碎石术。术后 5 天，患者出院，无明显不适。1 个月后拔出双 J 管，随访 3 个月未发现结石复发。
双侧重复肾输尿管畸形合并多发性结石非常罕见。结石可以通过输尿管镜碎石术或经皮肾镜碎石术取出，有时需要多次手术，应根据患者的具体情况选择。
