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. 2025 Jan 6;13(1):e70065.
doi: 10.1002/ccr3.70065. eCollection 2025 Jan.

Management of an Intraparenchymal Struvite Stone Using Laparoscopic Nephrolithotomy: A Case Report

Ayoub Hidayat-Allah  1 , Frank Friedersdorff  1   2
Affiliations

Management of an Intraparenchymal Struvite Stone Using Laparoscopic Nephrolithotomy: A Case Report

Ayoub Hidayat-Allah et al. Clin Case Rep. .

Abstract

This study aims to present a case of laparoscopic nephrolithotomy and highlight its successful outcome. The patient was a 65-year-old male who experienced intermittent colicky flank pain. Imaging revealed the presence of a 20-mm round-shaped stone in a hydronephrotic calyx located in the mid-pole of the left kidney, possibly with a parenchymal component. Given the stone's location, neither percutaneous nephrolithotripsy (PCNL) nor ureterorenoscopy (URS) was considered feasible. The findings of this study demonstrate the effectiveness and suitability of laparoscopic nephrolithotomy (LNL) in managing stones. It emphasizes that LNL can be utilized not only as an alternative treatment but also as a viable initial option when appropriate case selection is made.

Keywords: case report; laparoscopic nephrolithotomy; nephrolithiasis; struvite stones.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Axial plan of an abdominal computer tomography showing the round‐shaped stone in a hydronephrotic calyx in the mid‐pole of the left kidney before the laparoscopic nephrolithotomy.
FIGURE 2
FIGURE 2
Coronal plan of an abdominal computer tomography showing the round‐shaped stone in a hydronephrotic calyx in the mid‐pole of the left kidney before the laparoscopic nephrolithotomy.
FIGURE 3
FIGURE 3
Intraoperative laparoscopic view of the stone.
FIGURE 4
FIGURE 4
Removed fragments of the struvite calculi.
See this image and copyright information in PMC

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