Fragmentation of Severely Encrusted Ureteral Stent Indwelled for 4 Years in a Boy
نویسندگان
چکیده
Four years ago, a 9-year-old boy received percutaneous nephrolithotomy (PCNL) and a 5F DJS was placed thereafter. The DJS was neglected until it caused serious complications including encrustation involving the whole stent, a 5-cm-diameter vesical stone, fragmentation of DJS, and serious urinary tract infection. For this rare and complex case of pediatric lithotomy, we combined PCNL with the suprapubic cystolithotomy for complete removal of the encrusted stent and associated stones without any complications and the patient was rendered stone- and stent-free safely.
منابع مشابه
Endourological management of forgotten encrusted ureteral stents.
PURPOSE To present our experience and discuss the various endourological approaches for treating forgotten encrusted ureteral stents associated with stone formation. MATERIALS AND METHODS From July 2006 to December 2008, 14 patients (11 men and 3 women) with encrusted ureteral stents were analyzed. The average indwelling time of the stent was 4.9 years (range 1 to 12). Plain-film radiography ...
متن کاملAn Indwelling Ureteral Stent Forgotten for Over 12 Years
Ureteral stents are one of the most commonly used urologic devices with the purpose of establishing and maintaining ureteral patency. They are also associated with a number of complications including infection, migration, stent-related symptoms, and encrustation, leading to lithiasis. Prolonged stent dwell time is associated with a greater degree of these complications. We present the case of a...
متن کاملManagement of encrusted ureteral stents impacted in upper tract.
OBJECTIVES To present our series of patients with ureteral stent encrustation and give indwelling times and management. Encrustation is one of the most serious complications of ureteral stents. METHODS A retrospective review was undertaken of all encrusted stents during a 4-year period. The inclusion criterion was a stent that required some form of intervention above the ureteral orifice to r...
متن کاملCombined endoscopic surgery in the prone-split leg position for successful single-session removal of an encrusted ureteral stent: a case report
INTRODUCTION Although encrusted stents may lead to some unwanted complications including urinary tract obstruction, urinary sepsis, and potential loss of kidney function, there is currently no consensus on the most efficient method for managing stents that are intentionally left in situ. This is the first report describing the management of an encrusted stent using combined endoscopic surgery i...
متن کاملChange of Renal Parenchymal Width in Patients with Unilateral Ureteral Stent: A Bicenter Retrospective Study
PURPOSE To determine whether kidney sizes were changed after ureteral stents were instilled, and if so, what parameters were significant. METHODS Parenchymal width (PW) of 98 patients with unilateral ureteral stents was measured from the coronal view of CT scans for both stented and unstented contralateral kidney. The mean PW and % change of mean PW were calculated before stenting and at the ...
متن کامل