Mr Chandan Ram a 77 year old patient from Srigangagar had Horseshoe kidney ( by birth abnormality where both kidneys are fused together at their lower pole ) and there were multiple large stones on the right side.
His left kidney was removed 02 years ago for cancer.
Surgery like PCNL is always a challenge for urologist due to anatomical abnormalities associated with horse shoe kidney
We did PCNL a month back and all his stones were removed through a key hole
His pre operative and post operative X-rays are given below.
