Combined laparoscopic pyelolithotomy with retrograde intrarenal surgery in a patient with horseshoe kidney anomaly and kidney stone: a case report

Eyüp Burak Sancak; Yakup Emre Tekin; Bektas Saray

doi:10.1093/jscr/rjad617

Combined laparoscopic pyelolithotomy with retrograde intrarenal surgery in a patient with horseshoe kidney anomaly and kidney stone: a case report

J Surg Case Rep. 2023 Nov 15;2023(11):rjad617. doi: 10.1093/jscr/rjad617. eCollection 2023 Nov.

Authors

Eyüp Burak Sancak¹, Yakup Emre Tekin², Bektas Saray¹

Affiliations

¹ Department of Urology, Faculty of Medicine, Canakkale Onsekiz Mart University, 17100, Canakkale, Turkey.
² Faculty of Medicine, Canakkale Onsekiz Mart University, 17100, Canakkale, Turkey.

Abstract

Horseshoe kidney is the most prevalent congenital kidney fusion anomaly, affecting 0.25% of the general population and occurring in 1 in 400-1600 births. Approximately 40 percent of patients develop kidney stones due to anomalies. In our case, we aimed to perform combined laparoscopic pyelolithotomy with retrograde intrarenal surgery (RIRS) instead of percutaneous nephrolithotomy (PNL) in a patient with a horseshoe anomaly. This procedure enabled us to detect the location of the mobile stone with RIRS and then successfully extract it with laparoscopic pyelolithotomy. Laparoscopic pyelolithotomy combined with RIRS is a reasonable additional treatment option for complicated stone surgery due to horseshoe kidney anomalies.

Keywords: RIRS; horseshoe kidney; laparoscopic pyelolithotomy; ureteroscopy.

Publication types

Case Reports