Efthimiou Ioannis, Chousianitis Zacharias, Skrepetis Kostadinos
Department of Urology, General Hospital of Messinia, Kalamata, Greece.
J Endourol Case Rep. 2017 Jun 1;3(1):84-86. doi: 10.1089/cren.2017.0052. eCollection 2017.
This report presents a bizarre and unusual case of looping and entrapment of a hydrophilic guidewire in the ureter of a 65-year-old woman with a stone in the lower ureter at the time of ureteroscopy and laser lithotripsy. We describe endourology maneuvers to remove the retained guidewire. Looping and entrapment of guidewire is a rare complication that urologists may face when they do not follow the basic principles of guidewire insertion. In that case, successful resolution is based both on surgeon's inspiration to apply the appropriate endourology maneuvers and availability of a variety of endourology tools in the theater. Both may lead urologists to avoid more invasive and morbid approaches for their patients.
本报告介绍了一例离奇且不寻常的病例，一名65岁女性在输尿管镜检查和激光碎石术时，一根亲水导丝在其输尿管下段结石处发生盘绕并被卡住。我们描述了通过腔内泌尿外科操作取出残留导丝的过程。导丝盘绕和卡住是泌尿外科医生在未遵循导丝插入基本原则时可能面临的罕见并发症。在这种情况下，成功解决问题既依赖于外科医生运用适当腔内泌尿外科操作的灵感，也取决于手术室中各种腔内泌尿外科工具的可用性。这两者都可能使泌尿外科医生避免对患者采用更具侵入性和危害性的治疗方法。
