Management of Complex Calculi: Is Surgery Still Useful? Case report

Abstract

Rhayour Anass, Fouimtizi Jaafar, Zerda Ilyass, Slaoui Amine, Karmouni Tarik, El Khader Khalid, Koutani Abdellatif and Iben Attya Ahmed

In recent decades, there has been a significant shift in the surgical management of renal lithiasis. Urologists face a therapeutic hurdle when treating coralliform calculi. The use of open or laparoscopic surgery has drastically decreased as a result of advancements in extracorporeal lithotripsy (ESWL), ureterorenoscopy (URS), and percutaneous nephrolithotomy (PCNL) in terms of minimally invasive access (flexible URS, combined techniques), energy (sonotrodes, and various types of laser), and technique. [1,2,3]. We report the case of a 70 years old female patient, who consulted for a simple right renal colic, the patient underwent an KUB radiography which found a calcium-toned opacity (Figure 1). We completed with and CT scan showing a dilatation du to complex lithiasis (89x23x33mm 1141 HU) (Figure 2).

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