Distler Florian A, Veelken Roland, Wagner Annette, Klein Tilman, Huettenbrink Clemens, Pahernik Sascha
Department of Urology, Nuremberg General Hospital, Paracelsus Medical University, Nuremberg, Germany.
Department of Nephrology, Nuremberg General Hospital, Paracelsus Medical University, Nuremberg, Germany.
Urol Int. 2022;106(2):209-212. doi: 10.1159/000518503. Epub 2021 Sep 14.
A 32-year-old man presented with painless macrohaematuria. An endoscopic stone removal of the upper moiety of a left double kidney with ureter duplex was performed 4 years ago. The inserted ureteral catheter (DJ) was not removed although it was communicated to the patient and written in the discharge report. The DJ led to a large bladder stone, a total incrustation of the DJ, and a staghorn calculus of the upper moiety. Furthermore, renal function scintigraphy showed no clinically significant function of the upper moiety. Therefore, a heminephrectomy was performed with corresponding ureterectomy and sectio alta for bladder stone removal.
一名32岁男性出现无痛性肉眼血尿。4年前对左侧重复肾伴双输尿管上半部分进行了内镜下取石术。尽管已告知患者并在出院报告中写明,但插入的输尿管导管(DJ管)未取出。DJ管导致了一个大的膀胱结石、DJ管完全被结石包裹以及上半部分的鹿角形结石。此外,肾功能闪烁扫描显示上半部分无具有临床意义的功能。因此,进行了半肾切除术,同时切除相应输尿管并高位切开膀胱以取出结石。