Simultaneous treatment of urolithiasis and cholelithiasis

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Abstract

Urolithiasis and cholelithiasis are among the most common diseases among the adult population worldwide. The combination of these diseases requires the development of an individual approach in the treatment of each patient. This article presents a clinical case of a combination of urolithiasis complicated by terminal hydronephrosis with cholelithiasis. Successful simultaneous surgical treatment is described.

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About the authors

Vladimir V. Protoshchak

Kirov Military Medical Academy

Email: protoshakurology@mail.ru
ORCID iD: 0000-0003-1897-8894
SPIN-code: 6289-4250

Dr. Sci. (Med.), Professor, Head of the Department of Urology and Clinic of Urology

Russian Federation, 6, Akademika Lebedeva st., Saint Petersburg, 194044

Alexey A. Sivakov

Kirov Military Medical Academy

Email: alexei-sivakov@mail.ru
SPIN-code: 3064-8134

Cand. Sci. (Med.), Associate Professor, Deputy Head of the Department and Clinic of Urology

Russian Federation, 6, Akademika Lebedeva st., Saint Petersburg, 194044

Alexey B. Lychev

Kirov Military Medical Academy

Email: lychev@mail.ru
SPIN-code: 9196-0450

Head of the Surgical Department of the Department of Naval Surgery

Russian Federation, 6, Akademika Lebedeva st., Saint Petersburg, 194044

Sergei M. Gozalishvili

Kirov Military Medical Academy

Email: gozalishwili@mail.ru
SPIN-code: 8838-2460

Oncologist, Clinic of Urology

Russian Federation, 6, Akademika Lebedeva st., Saint Petersburg, 194044

Nikolay P. Kushnirenko

Kirov Military Medical Academy

Email: nikolaj.kushnirenko@yandex.ru
SPIN-code: 3892-8959

Dr. Sci. (Med.), Associate Professor of the Department of Urology

Russian Federation, 6, Akademika Lebedeva st., Saint Petersburg, 194044

Nikolay N. Kharitonov

Kirov Military Medical Academy

Email: kharitonov@mail.ru
SPIN-code: 9614-3001

Cand. Sci. (Med.), Associate Professor of the Department of Urology

Russian Federation, 6, Akademika Lebedeva st., Saint Petersburg, 194044

Elena N. Grafschina

Kirov Military Medical Academy

Author for correspondence.
Email: grafshchina@mail.ru

Surgeon, Emergency Surgery Unit, Department of Naval Surgery

Russian Federation, 6, Akademika Lebedeva st., Saint Petersburg, 194044

References

  1. Protoshchak VV, Paronnikov MV, Orlov DN, Kiselev AO. Medical and economic rationale for the use of modern methods of treating urolithiasis. Experimental Clinical Urology. 2019;(3):12–18. doi: 10.29188/2222-8543-2019-11-3-12-18
  2. Kuroda N, Mizobuchi M, Shimamura Y, et al. An Asian variant of intravascular lymphoma: unique clinical and pathological manifestation in the gallbladder. APMIS. 2007;115(4):371–375. doi: 10.1111/j.1600-0463.2007.apm_578.x
  3. Il’chenko AA. Bolezni zhelchnogo puzyrya i zhelchnykh putei. Rukovodstvo dlya vrachei. Moscow: MIA; 2011. 880 p.
  4. Ahmad I, Saeed Pansotal M, Tariq M, et al. Comparison between double J (DJ) ureteral stenting and percutaneous nephrostomy (PCN) in obstructive uropathy. Pak J Med Sci. 2013;29(3):725–729. doi: 10.12669/pjms.293.3563
  5. Efesoy O, Saylam B, Bozlu M, et al. The results of ultrasound-guided percutaneous nephrostomy tube placement for obstructive uropathy: A single-centre 10-year experience. Turk J Urol. 2018;44(4):329–334. doi: 10.5152/tud.2018.25205
  6. Ivanov MD, Gerasimova OM, Galimova AM. Sovremennye sposoby lecheniya mochekamennoi bolezni pri nalichii krupnykh konkrementov. Molodoi uchenyi. 2019.34(272):28–30.
  7. Kryukov EV, Esipov AV, Protoshchak VV, et al. Urolithiasis: organization of medical care in military medical institutions of central subordination. Military Medical Journal. 2022;343(2):4–14. doi: 10.52424/00269050_2022_343_2_04
  8. Bokiev FB, Rashidov FSh, Rakhmonov DA, Amonov ShSh. Our experience of 4360 laparoscopic cholecystectomy for cholelithiasis. Avicenna Bulletin. 2020;22(4):572–579. doi: 10.25005/2074-0581-2020-22-4-572-579

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. CT scan: a — gallbladder calculus (1); nephrostomy drainage curl (2); right kidney stone (3); right ureter stone (4); b — contrast agent allocation in a timely manner (arrow)

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3. Fig. 2. Nephroscintigram. Violation of the excretory function of the right kidney. 1 — curve of the excretory function of the right kidney; b — curve of the excretory function of the left kidney

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4. Fig. 3. Macropreparation: a — removed right kidney (1 — nephrostomy drainage curl, 2 — stones in the renal cavity system); b — removed gallbladder (3 — stone in the lumen of the gallbladder)

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