Codău Catrinel-Ana, Coman Flavia, Novac Bogdan
Grigore T. Popa University of Medicine and Pharmacy, Iasi, Romania.
Urology and Kidney Transplant Clinic, Dr. C.I. Parhon Clinical Hospital, Iasi, Romania.
Arch Clin Cases. 2022 Dec 20;11(4):127-131. doi: 10.22551/2024.45.1104.10303. eCollection 2024.
Coralliform kidney stones represent a severe form of nephrolithiasis, posing significant challenges due to their size and associated complications, such as recurrent infections and renal impairment. We present the case of a 34-year-old female with chronic venous disease, anemia, and recurrent urinary tract infections, who was diagnosed with a right-sided coralliform renal calculus and a ureteral pelvic stone. The management included semi-rigid ureteroscopy with laser lithotripsy for the ureteral stone, percutaneous nephrolithotomy (PCNL) for the coralliform stone, and placement of a ureteral stent. Despite anatomical challenges during PCNL, residual stones were addressed via staged extracorporeal shock wave lithotripsy. This case highlights the complexity of surgical management in advanced nephrolithiasis and the necessity for a multidisciplinary approach.
珊瑚状肾结石是一种严重的肾结石形式，因其大小和相关并发症（如反复感染和肾功能损害）而带来重大挑战。我们报告一例34岁女性病例，该患者患有慢性静脉疾病、贫血和反复尿路感染，被诊断为右侧珊瑚状肾结石和输尿管肾盂结石。治疗包括对输尿管结石进行半硬性输尿管镜激光碎石术、对珊瑚状结石进行经皮肾镜取石术（PCNL）以及放置输尿管支架。尽管PCNL过程中存在解剖学挑战，但残余结石通过分期体外冲击波碎石术进行处理。该病例突出了晚期肾结石手术治疗的复杂性以及多学科方法的必要性。
