英: coral calculus
同: 樹枝状結石 branched calculus、鹿角状結石 staghorn calculus
関: 尿路結石症

概念

複数の腎杯にひろがり腎盂を占拠している結石

治療

参考1 参考2

経皮的腎尿管結石砕石術 PNLと体外衝撃波結石破砕術 ESWLの併用療法が最も推奨される。ESWL単独治療、開放手術は第一選択にならない。

参考

1. 尿路結石症 | Minds医療情報サービス | ガイドライン | 珊瑚状結石の積極的治療

http://minds.jcqhc.or.jp/stc/0022/1/0022_G0000058_0040.html

2. 要約尿路結石症 | Minds医療情報サービス | ガイドライン | 珊瑚状結石の積極的治療

http://minds.jcqhc.or.jp/stc/0022/1/0022_G0000058_0010.html

UpToDate Contents

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1. 成人の腎臓結石：ストルバイト（感染）結石kidney stones in adults struvite infection stones [show details]
…urine pH (>8). Presence of magnesium ammonium phosphate crystals in the urine sediment A staghorn calculus identified by abdominal imaging . However, uric acid and cystine stones can also present …
2. 成人の腎結石：腎臓結石および尿管結石の外科治療kidney stones in adults surgical management of kidney and ureteral stones [show details]
…described in a large multicenter study that included 5803 patients, of whom 1466 (28 percent) had a staghorn calculus and 940, 956, and 2603 had upper, interpolar, and lower pole stones, respectively . The overall …
3. 成人の腎結石：腎結石症が疑われた場合の診断および急性期管理kidney stones in adults diagnosis and acute management of suspected nephrolithiasis [show details]
…left untreated. Staghorn calculi themselves do not typically produce symptoms unless the stone results in urinary tract obstruction or an infection is the cause of the staghorn calculus. However, they can …
4. 小児の腎臓結石：急性期管理kidney stones in children acute management [show details]
… Ureteroscopy is not as successful in the removal of staghorn calculi. This was illustrated in a case series of 19 children with 23 renal calculi that demonstrated clearance of renal pelvic stones in …
5. シスチン尿症およびシスチン結石cystinuria and cystine stones [show details]
… large, branched (staghorn) calculi. Diagnosis – The diagnosis of cystinuria should be suspected in any patient with kidney stone disease, particularly those with early-onset kidney stones (in childhood) …