Birowo Ponco, Rasyid Nur
Department of Urology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Indonesia.
Urol Case Rep. 2020 May 3;33:101239. doi: 10.1016/j.eucr.2020.101239. eCollection 2020 Nov.
Neglected DJ stent is a challenging case, due to the procedures required, using fluoroscopy, as seen in ESWL, URS, and PCNL. This study presents the case of a 54 years old woman with pyelum and ureter stones, alongside neglected DJ stent for about a year. Treatment was started with cystoscopy, URS lithotripsy, which was continued with kidney puncture, and the subsequent dilatation with Alken Metal Telescopic Dilator. All steps were performed under the guidance of ultrasonography without fluoroscopy. The result showed a successful removal of DJ stent, which was achieved percutaneously, and no remaining stone was found.
因需要使用荧光透视法进行操作，如体外冲击波碎石术（ESWL）、输尿管镜检查（URS）和经皮肾镜取石术（PCNL）中所见，处理被忽视的双J管是一个具有挑战性的病例。本研究报告了一名54岁女性患者的病例，该患者患有肾盂和输尿管结石，同时双J管被忽视约一年。治疗从膀胱镜检查、输尿管镜碎石术开始，接着进行肾脏穿刺，随后使用Alken金属伸缩扩张器进行扩张。所有步骤均在超声引导下进行，无需荧光透视法。结果显示成功经皮取出双J管，且未发现残留结石。
