Clinical application of percutaneous nephrolithotomy in a patient with kyphoscoliosis

J Int Med Res. 2021 Jan;49(1):300060520987937. doi: 10.1177/0300060520987937.

Abstract

This case report describes the performance of ultrasound-guided percutaneous nephrolithotomy in a 50-year-old woman who had scoliosis with kyphosis and a history of tuberculosis of the lumbar spine. The operation was performed with the patient under general anesthesia and in the prone position. Residual stones were found in the right lower kidney calyx postoperatively, resulting in a second-phase surgery using the same approach 2 weeks later. All stones were successfully removed during the second surgery. No complications occurred in either operation, and the patient recovered well. This study suggests that ultrasound-guided percutaneous nephrolithotomy is a safe and effective approach in treating renal calculi in patients with scoliosis.

Keywords: Percutaneous nephrolithotomy; case report; lithotomy; renal calculus; scoliosis; ultrasound guidance.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Humans
  • Kidney Calculi* / complications
  • Kidney Calculi* / diagnostic imaging
  • Kidney Calculi* / surgery
  • Kyphosis* / complications
  • Kyphosis* / diagnostic imaging
  • Kyphosis* / surgery
  • Middle Aged
  • Nephrolithotomy, Percutaneous*
  • Nephrostomy, Percutaneous*
  • Scoliosis* / complications
  • Scoliosis* / diagnostic imaging
  • Scoliosis* / surgery