Endo-infundibulotomy of a hydrocalyx, mysterious pains after percutaneous nephrolithotomy: A case report

• Published in: SAGE open medical case reports Vol. 12; p. 2050313X241252808
• Main Authors: Basiri, Abbas, Narouie, Behzad, Dadpour, Mehdi, Najafi, Darya, Momeni, Hamidreza, Jadidi, Sajedeh, Radpour, Negar
• Format: Report
• Language: English
• Published: 01.01.2024
• ISSN: 2050-313X; 2050-313X
• DOI: 10.1177/2050313X241252808

Hydrocalyx is a dilated renal calyx due to obstruction of the infundibulum and a rare complication after percutaneous nephrolithotomy. We present a 22-year-old girl with hydrocalyx who had following percutaneous nephrolithotomy and its management. A 22-year-old female with recurrent right flank pain underwent percutaneous nephrolithotomy for a kidney stone. Despite interventions such as endoscopic infundibulotomy and double J stenting, the patient experienced persistent symptoms. Laparoscopy ultimately led to improvement. Hydrocalyx is a rare but significant complication post-percutaneous nephrolithotomy. Minimally invasive procedures and endoscopic interventions are the primary treatment options. Laparoscopy may be considered if initial interventions fail. Formation of hydrocalyx after percutaneous nephrolithotomy is a rare yet considerable complication and there are only a few articles in this field available to our knowledge.