Academic Journal
Laparoscopic-assisted percutaneous nephrolithotomy for nephrolithiasis in a pancake kidney.
| Τίτλος: | Laparoscopic-assisted percutaneous nephrolithotomy for nephrolithiasis in a pancake kidney. |
|---|---|
| Συγγραφείς: | Japhina HC; Internal Medicine, AIIMS Raebareli, Raebareli, Uttar Pradesh, India., Mishra A; Urology, AIIMS Raebareli, Raebareli, Uttar Pradesh, India amit.mishra.uro@gmail.com., Sarswat A; General Surgery, AIIMS Raebareli, Raebareli, Uttar Pradesh, India., Roy S; Nephrology, AIIMS Raebareli, Raebareli, Uttar Pradesh, India. |
| Πηγή: | BMJ case reports [BMJ Case Rep] 2026 Aug 24; Vol. 19 (8). Date of Electronic Publication: 2026 Aug 24. |
| Τύπος έκδοσης: | Journal Article; Case Reports |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 101526291 Publication Model: Electronic Cited Medium: Internet ISSN: 1757-790X (Electronic) Linking ISSN: 1757790X NLM ISO Abbreviation: BMJ Case Rep Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BMJ Pub. Group |
| Ιατρικοί όροι (MeSH): | Laparoscopy*/methods , Nephrolithotomy, Percutaneous*/methods , Nephrolithiasis*/surgery , Nephrolithiasis*/diagnostic imaging , Kidney*/abnormalities , Kidney*/surgery , Kidney*/diagnostic imaging , Kidney Calculi*/surgery , Kidney Calculi*/diagnostic imaging, Hydronephrosis/etiology ; Hydronephrosis/surgery ; Humans ; Male ; Adult ; Treatment Outcome |
| Περίληψη: | Pancake kidney is an extremely rare renal fusion anomaly characterised by a single discoid parenchymal mass situated within the pelvic cavity. Due to its anomalous rotation and location, it is highly susceptible to urinary stasis, resulting in nephrolithiasis and infections. This report describes the clinical course and management of a man in his 20s who presented with chronic episodic lower abdominal pain and intermittent gross haematuria. Diagnostic imaging revealed a 2.5×2.2 cm obstructive calculus in the renal pelvis of a pancake kidney, causing significant hydronephrosis. Due to the unusual location in the abdominal pelvis, which predisposes to a high risk of bowel injury, the patient underwent a successful laparoscopic-assisted percutaneous nephrolithotomy. This approach allowed for safe bowel mobilisation and direct visualisation during renal access, resulting in a stone-free status without postoperative complications. The case highlights the necessity of tailored surgical strategies when addressing nephrolithiasis in the context of rare anatomical anomalies, emphasising the role of combined minimally invasive techniques in optimising patient outcomes and minimising surgical morbidity. (© BMJ Publishing Group Limited 2026. No commercial re-use. See rights and permissions. Published by BMJ Group.) |
| Competing Interests: | Competing interests: None declared. |
| Contributed Indexing: | Keywords: Hematuria; Renal intervention; Surgical Procedure, Operative; Urological surgery; Urology |
| Entry Date(s): | Date Created: 20260824 Date Completed: 20260824 Latest Revision: 20260914 |
| Update Code: | 20260914 |
| DOI: | 10.1136/bcr-2026-275986 |
| PMID: | 42637506 |
| Βάση Δεδομένων: | MEDLINE |
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