Urologie pro praxi 2/2020

Surgical solutions blocking pyelolithiasis and casting nephrolithiasis of the right kidney and left kidney tumor in a patient with a horseshoe kidney

We present a case report describing a patient a with a horseshoe kidney who experienced several complications arising in the field of this congenital developmental defekt. We addressed blocking, bulky nephrolithiasis in the right kidney and bulky tumor in the left kidney. We first combined the endoscopic solution of lithiasis and then with the distance of removal of the left horseshoe tumor from transperitoneal open access. There may be a problem with the surgical approach to the horseshoe kidneys due to their atypical positions and vascular supply, where we could earn a balance as to how sufficient functional renal parenchyma is possible, even with sufficient oncological radicality on the other hand.

Keywords: horseshoe kidney, hydronefrosis, lithiasa, tumor, nefrectomy, percutaneous stone extraction