Percutaneous nephrolithotomy (PNL) has proven to be a minimally invasive surgical technique for stone disease, including complex kidney stones. Bilateral stone disease and stones in horseshoe kidneys are considered as complex stones, and their coexistence is a significant challenging situation for surgery. Yet, PNL is a safe and effective treatment modality for both situations.1,2 We introduce a case of bilateral simultaneous PNL in a horseshoe kidney, who had intractable postoperative nausea and vomiting (PONV). The cause seems to be unique, since no literature on such condition exists.
Keywords: Percutaneous Nephrolithotomy, Horseshoe Kidney, Stone Disease, PONV
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