Indian Journal of Urology
CASE REPORT
Year
: 2012  |  Volume : 28  |  Issue : 4  |  Page : 442--444

Management of a renal calculus larger than 4 cm in a patient with tuberous sclerosis complex-associated angiomyolipoma


Koichi Kodama, Yasukazu Takase, Isamu Motoi 
 Department of Urology, Toyama City Hospital, Toyama, Japan

Correspondence Address:
Koichi Kodama
Department of Urology, Toyama City Hospital, 2-1Imaizumi-hokubucho, Toyama 939-8511
Japan

Renal calculi in patients with renal angiomyolipomas are difficult to treat because of the hemorrhagic potential of these tumors. We describe the case of a 65-year-old man having tuberous sclerosis complex-associated multifocal renal angiomyolipomas with a large renal calculus. The patient presented with left flank dullness and a previous history of spontaneous angiomyolipoma rupture. Intravenous pyelography revealed a 43 × 16 mm calculus in the pelvis and lower calyx of the left kidney. The calculus was successfully removed by retrograde flexible ureterorenoscopy and holmium-YAG lithotripsy. Flexible ureterorenoscopy is an effective, minimally invasive therapy for patients at high risk of renal hemorrhage.


How to cite this article:
Kodama K, Takase Y, Motoi I. Management of a renal calculus larger than 4 cm in a patient with tuberous sclerosis complex-associated angiomyolipoma.Indian J Urol 2012;28:442-444


How to cite this URL:
Kodama K, Takase Y, Motoi I. Management of a renal calculus larger than 4 cm in a patient with tuberous sclerosis complex-associated angiomyolipoma. Indian J Urol [serial online] 2012 [cited 2022 Sep 24 ];28:442-444
Available from: https://www.indianjurol.com/article.asp?issn=0970-1591;year=2012;volume=28;issue=4;spage=442;epage=444;aulast=Kodama;type=0