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Management of an Intraparenchymal Struvite Stone Using Laparoscopic Nephrolithotomy: A Case Report

Year: 2025

Type: article

Abstract: This study aims to present a case of laparoscopic nephrolithotomy and highlight its successful outcome. The patient was a 65-year-old male who experienced intermittent colicky flank pain. Imaging revealed the presence of a 20-mm round-shaped stone in a hydronephrotic calyx located in the mid-pole of the left kidney, possibly with a parenchymal component. Given the stone's location, neither percutaneous nephrolithotripsy (PCNL) nor ureterorenoscopy (URS) was considered feasible. The findings of this study demonstrate the effectiveness and suitability of laparoscopic nephrolithotomy (LNL) in managing stones. It emphasizes that LNL can be utilized not only as an alternative treatment but also as a viable initial option when appropriate case selection is made.

Source: Clinical Case Reports

DOI: 10.1002/ccr3.70065

Authors: Ayoub Hidayat‐Allah, Frank Friedersdorff

Institutions: Evangelisches Krankenhaus Königin Elisabeth Herzberge, Charité - Universitätsmedizin Berlin

Language: English

Topic: Kidney Stones and Urolithiasis Treatments

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,820