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Management of a renal calculus larger than 4 cm in a patient with tuberous sclerosis complex-associated angiomyolipoma.

Abstract
Renal calculi in patients with renal angiomyolipomas are difficult to treat because of the hemorrhagic potential of these tumors. We describe the case of a 65-year-old man having tuberous sclerosis complex-associated multifocal renal angiomyolipomas with a large renal calculus. The patient presented with left flank dullness and a previous history of spontaneous angiomyolipoma rupture. Intravenous pyelography revealed a 43 × 16 mm calculus in the pelvis and lower calyx of the left kidney. The calculus was successfully removed by retrograde flexible ureterorenoscopy and holmium-YAG lithotripsy. Flexible ureterorenoscopy is an effective, minimally invasive therapy for patients at high risk of renal hemorrhage.
AuthorsKoichi Kodama, Yasukazu Takase, Isamu Motoi
JournalIndian journal of urology : IJU : journal of the Urological Society of India (Indian J Urol) Vol. 28 Issue 4 Pg. 442-4 (Oct 2012) ISSN: 0970-1591 [Print] India
PMID23450153 (Publication Type: Case Reports)

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