Lopez Silva Maximiliano, Sanguinetti Horacio, Battiston Santiago, Alvarez Patricio, Bernardo Norberto
Department of Urology, Hospital P Piñero, Buenos Aires, Argentina.
Department of Urology, Clínica San Camilo, Buenos Aires, Argentina.
J Endourol Case Rep. 2019 Mar 16;5(1):1-3. doi: 10.1089/cren.2017.0039. eCollection 2019.
Clinical presentation of patients with foreign bodies is highly variable. We received a 55-year-old female patient with fever and right flank pain. She was treated previously for kidney stones by percutaneous nephrolithtomy with partial resolution, requiring renal embolization during this procedure because of bleeding. CT evidenced metallic density images localized in kidney and ureter, associated with kidney stones located in lower calix. Semirigid ureteroscopy and retrograde intrarenal surgery were performed, revealing the presence of foreign bodies in both localizations and lower calix stones. Complete removal of foreign bodies and stones was performed. Foreign bodies were found to be embolization coils applied in the previous procedure.
异物患者的临床表现差异很大。我们收治了一名55岁的女性患者,她发热且右侧胁腹疼痛。她之前因肾结石接受过经皮肾镜取石术,症状部分缓解,但在此过程中因出血需要进行肾栓塞。CT显示金属密度影像位于肾脏和输尿管,伴有位于下肾盏的肾结石。进行了半硬性输尿管镜检查和逆行性肾内手术,发现这两个部位均存在异物以及下肾盏结石。异物和结石均被完全取出。发现异物是之前手术中使用的栓塞线圈。