Bist Aayush, Upadhyaya Maya, Giri Dhanlaxmi, Kaphle Prabhat, Gyawali Milan
Dhangadhi Sanjeevani Hospital Pvt. Ltd., Kailali, Nepal.
Infectious and Communicable Disease Hospital, Kaski, Nepal.
Ann Med Surg (Lond). 2025 Aug 1;87(9):6206-6210. doi: 10.1097/MS9.0000000000003673. eCollection 2025 Sep.
Urolithiasis is a common condition, but management becomes challenging in patients with recurrent stones, anatomical variations, or a history of multiple interventions.
A 56-year-old man with bilateral kidney stones and a duplex collecting system had a long-standing history of flank pain and had undergone several procedures, including ESWL, URSL, and PCNL. Most recently, he was presented with a right-sided renal stone.
Urolithiasis in patients with duplex renal systems can lead to recurring stones, making treatment more complex. Imaging like ultrasound and CT scans help in diagnosis, and procedures like retrograde intrarenal surgery (RIRS) are effective for removal and good surgical outcome. With stone analysis and follow-up care, including hydration and dietary changes, recurrence can be minimized.
This case highlights the challenges of managing complex, recurrent urolithiasis in a patient with a duplex collecting system.
尿路结石是一种常见病症，但对于复发性结石、解剖结构变异或有多次干预史的患者，其治疗变得具有挑战性。
一名56岁男性，患有双侧肾结石及重复肾集合系统，有长期的胁腹疼痛病史，且已接受过多种治疗，包括体外冲击波碎石术（ESWL）、输尿管肾镜碎石术（URSL）和经皮肾镜取石术（PCNL）。最近，他又出现了右侧肾结石。
重复肾系统患者的尿路结石可导致结石复发，使治疗更加复杂。超声和CT扫描等影像学检查有助于诊断，逆行性肾内手术（RIRS）等治疗方法对于结石清除有效且手术效果良好。通过结石分析和后续护理，包括补充水分和改变饮食，可将复发风险降至最低。
本病例突出了在患有重复肾集合系统的患者中管理复杂复发性尿路结石的挑战。
