Nephrolitiasis On Nephroptosis Patient
DOI:
https://doi.org/10.29303/jku.v11i1.583Keywords:
Nephroptosis, kidney stone, nephrectomyAbstract
Nephroptosis or ren mobilis is defined as a descent in the anatomical position of the kidney by more than 2 corpus vertebrae (>5 cm). It is more common in women and on right kidney, although there were 10 % cases on left kidney and 20 % on bilateral kidney. Nephroptotic pain is a symptom that is often experienced by floating kidney patients. Complication of nephroptosis are hypertension and nephrolithiasis (kidney stones). Management of nephroptosis is nephropexy, or nephrectomy if there is kidney parenchymal damage. Reporting a 75-year-old female patient with right nephroptosis and kidney stone. She complained pain on the right lower abdomen that become better when patient lying. Patient has had hypertension too. On abdominal CT showed right kidney stone and severe hydronephosis. Position of the kidney was in the pelvic region. Patient then underwent right nephrectomy because parenchym of the kidney became very thin that damaged the kidney. Intra operative condition of this patient was stable, then patient discharged form hospital three days after surgery.
References
2. Plas E, Daha K, Riedl CR, Hunber WA, Pfluger H. Long-term follow-up after laparoscopic nephropexy for symptomatic nephroptosis. J Urol 2001; 166: 449– 52
3. Kelly HA. Moveable kidney and neurasthenia. Trans Amer Surg Ass 1910;28:513.
4. Deming CL. Nephroptosis; causes, relation to other viscera, and correction by a new operation. J Am Med. Assoc 1930;95: 251-257,
5. Fornara P etal. Laparoscopic Nephropexy: Technique and Follow Up Result. Urologic Laparoscopy.1999. p .122-134
6. Srirangam S.J. etal. Nephroptosis: seriously misunderstood?. Journal compilation. 2008. BJU International. 103, 2 9 6 – 3 0 0
7. Clorius etal. Evidence of Possible Association of Nephrolithiasis and Nephroptosis. Department of Nuclear Medicine, German Cancer Research Center; Department of Urology, University of Heidelberg, School of Medicine, and Department of Nephrology, Berufsforderungswerk, Heidelberg. Nephron 22: 382-385 (1978)
8. Narath PA. Nephroptosis. Urol Int 1961; 12: 164–71
9. Zajaczkowski T, Straube W. Hypertonie und Nephroptose. Urologe 1991; 30:143-146.
10. de Zeeuw D, Donker AJ, Burema J, van der Hem GK, Mandema E. Nephroptosis and hypertension. Lancet 1977; 1: 213–5
11. Kaufman, J. J., Hanafee, W., Maxwell, M. H. J. Am. med. Ass. 1964, 187, 977.
12. Clorius etal. Evidence of Possible Association of Nephrolithiasis and Nephroptosis. Department of Nuclear Medicine, German Cancer Research Center; Department of Urology, University of Heidelberg, School of Medicine, and Department of Nephrology, Berufsforderungswerk, Heidelberg. Nephron 22: 382-385 (1978)
13. Clorius, J.H.; Schalkhauser, K.; Georgi, P. und Reinbold, F.: Die Kippniere. Fortschr. Roentgen- str. 119: 591-595 (1973).
14. Clorius, J.H.; Kjelle-Schweigler, M.; Georgi, P.; Sinn, H. J., and Moehring, K.: Position-dependent renogram changes of the mobile kidney. Eur. J. nucl. Med. 2: 67-70 (1977).
15. Bull, U.; Langhammer, H.; Hör, G. und Frey, K.W.: Funktionsuntersuchungen bei Nephroptosen mit der 0-13)Jod-Hippuran-Nephrographie. Fortschr. Roentgenstr. 114: 407-415 (1971).
16. Jucker, A.: Isotopennephrogramm bei Ren mobilis. Radiol, clin. biol. 43: 371-376 (1974).
17. IAUI. Panduan Penatalaksanaan Batu Saluran Kemih. 2018. Edisi Pertama
18. Kijvikai K. The role of laparoscopic surgery for renal calculi management. Ther Adv Urol. 2011;3(1):13-18. doi:10.1177/1756287211398254
19. Birdsall J.C. The Symptomatology, Renal Pathology, And Treatment of Nephroptosis. Urological Services Of The Graduate And Presbyterian Hospitals In Philadelphia. 1935
