![]() ![]() In 4 cases (2 with ruptured renal cyst, 1 with renal cell carcinoma and one with staghorn calculus) concomitant renal injury requiring immediate surgical intervention was detected.Ĭhez 4 cas (2 avec kystes rupturés, 1 avec tumeur rénale et 1 avec lithiase coralliforme) une intervention en urgence a été pratiquée. L'importance de la stase ne dépend pas forcément de la taille du calcul (un gros calcul coralliforme n'entraîne pas de stase, contrairement à une lithiase enclavée dans le méat urétéro-vésical). The importance of stasis is not necessarily dependent on the size of the calculation (a large staghorn calculus does not result in stasis, unlike a stones wedged in the ureter-bladder meatus). Un calcul coralliforme est un calcul qui bouche de grandes sections du bassinet du rein voire un ou plusieurs calices rénaux. L'élimination lithiasique a été complète pour 8 patients (47%) dont 3 présentaient initialement un calcul coralliforme.Ī staghorn calculus is a stone that fills large sections of the renal pelvis or one or more of the renal calyces. Large or staghorn calculus (thought to cause obstruction and inflammatory response), 75 in the remaining 25 of patients, XGP is due to UPJ obstruction or ureteral tumors. Stone elimination was complete for 8 patients (47%), 3 of whom initially presented a staghorn calculus. His medical history was notable for recurrent pyelonephritis on the right side. Patient underwent transperitoneal laparoscopic nephrectomy. The kidney was nonvisualised on intravenous urogram (figure 1) &contributed 8 of total renal function on DTPA renal scan. Une cohorte de 26 patients a bénéficié d'une néphrolithotomie bivalve par lombotomie, pour traiter un calcul coralliforme complexe. Staghorn calculi are usually branching and so called because they resemble the antlers of a stag. Staghorn calculi is a condition when renal stones occupy a large portion of renal pelvis or renal calyces. A 58-year-old man presented with a 1-year history of dysuria. On renal ultrasound a staghorn calculus was detected without associated hydronephrosis. Materials A cohort of 26 patients underwent anatrophic nephrolithotomy by lombotomy to treat a complex staghorn calculus. The AUA guidelines recommend anatrophic nephrolithotomy in patients for whom treatment of a struvite staghorn calculus is not likely to be successful with a reasonable number of PCNL or SWL ( 24, 25). ![]()
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