Recurrent renal calculi in a bilateral partial duplex collecting system: a rare case managed with suction RIRS.

IF 1.6 Q2 MEDICINE, GENERAL & INTERNAL

Annals of Medicine and Surgery Pub Date : 2025-08-01 eCollection Date: 2025-09-01 DOI:10.1097/MS9.0000000000003673

Aayush Bist, Maya Upadhyaya, Dhanlaxmi Giri, Prabhat Kaphle, Milan Gyawali

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Abstract

Introduction and importance: Urolithiasis is a common condition, but management becomes challenging in patients with recurrent stones, anatomical variations, or a history of multiple interventions.

Case presentation: 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.

Clinical discussion: 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.

Conclusion: This case highlights the challenges of managing complex, recurrent urolithiasis in a patient with a duplex collecting system.

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双侧部分双肾收集系统复发性肾结石：一例罕见的抽吸式肾内灌注治疗。

简介和重要性：尿石症是一种常见的疾病，但对于复发性结石、解剖变异或多次干预史的患者，治疗变得具有挑战性。病例介绍：56岁男性，双侧肾结石，双侧收集系统，长期腹痛，接受过多次手术，包括ESWL， URSL和PCNL。最近，他被诊断为右侧肾结石。临床讨论：双肾患者尿石症可导致结石复发，使治疗更加复杂。像超声和CT扫描这样的成像有助于诊断，像逆行肾内手术（RIRS）这样的手术对于切除是有效的，手术效果也很好。通过结石分析和随访护理，包括水合作用和饮食改变，可以将复发降到最低。结论：这个病例强调了管理复杂的，复发性尿石症患者的双重收集系统的挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Medicine and Surgery MEDICINE, GENERAL & INTERNAL-

自引率

5.90%

发文量

1665