Nephrolithiasis in a 17-Year-Old Male With Seckel Syndrome and Horseshoe Kidneys: Case Report and Review of the Literature.

Urology

Division of Pediatric Urology, Department of Surgery, Texas Children's Hospital, and Scott Department of Urology, Baylor College of Medicine; and Division of Interventional Radiology, Department of Radiology, Texas Children's Hospital and Baylor College of Medicine, Houston, TX. Electronic address:

Published: October 2018

AI Article Synopsis

  • A 17-year-old male with Seckel syndrome and horseshoe kidneys presented with a 7 mm kidney stone in the right kidney's lower pole calyx.
  • Attempts to treat the stone using ureteroscopy failed because of the stone's location and the patient's unique kidney anatomy.
  • This case is significant as it emphasizes the challenges of treating kidney stones in patients with abnormal kidney structures and is the first reported instance of such a condition in someone with Seckel syndrome and horseshoe kidneys.

Article Abstract

We report the case of a 17-year-old male with Seckel syndrome and horseshoe kidneys which had a 7 mm kidney stone in the lower pole calyx of the right moiety. The patient had a history of rotoscoliosis with 60° dextroconvex curvature and hepatic steatosis. Attempted ureteroscopy was unsuccessful due to stone location and anatomy. Percutaneous nephrolithotomy was ultimately required. This case highlights the difficulties of endoscopic treatments of renal calculi in patients with abnormal renal anatomy and dysmorphia. To our knowledge, this is the first reported case of nephrolithiasis in a patient with Seckel syndrome and horseshoe kidneys.

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Source
http://dx.doi.org/10.1016/j.urology.2018.05.023DOI Listing

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