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经皮肾镜碎石术后输尿管双J支架远端移位至对侧输尿管:一例病例报告

Distal end of a ureteral double-J stent displaced into the contralateral ureter after percutaneous nephrolithotripsy: a case report.

作者信息

Chen Junyong, Xie Tao, Xu Ya, Deng Jian, Zhang Jie, Zhu Yumo, Li Guiyuan

机构信息

Department of Urology, Zhuhai People's Hospital (Zhuhai Hospital Affiliated with Jinan University), Zhuhai, China.

Department of Radiology, Zhuhai People's Hospital (Zhuhai Hospital Affiliated with Jinan University), Zhuhai, China.

出版信息

Front Med (Lausanne). 2023 Sep 21;10:1239053. doi: 10.3389/fmed.2023.1239053. eCollection 2023.

Abstract

We report displacement of the distal end of a ureteral double-J stent into the contralateral ureter after percutaneous nephrolithotripsy (PCNL) in a 71-year-old man with a history of left kidney stones. Postoperative computed tomography imaging showed that the distal end of the left ureteral double-J stent was displaced into the right ureter, which resulted in persistent right renal colic when the nephrostomy tube was clipped and continuous urine leakage from the nephrostomy opening after the nephrostomy tube was removed. After the cystoscopic adjustment of the ureteral stent, the patient recovered uneventfully and was discharged home the next day.

摘要

我们报告了一例71岁有左肾结石病史男性患者,在经皮肾镜取石术(PCNL)后,输尿管双J支架远端移位至对侧输尿管。术后计算机断层扫描成像显示,左输尿管双J支架远端移位至右输尿管,这导致在夹闭肾造瘘管时出现持续性右肾绞痛,且在拔除肾造瘘管后肾造瘘口持续漏尿。经膀胱镜调整输尿管支架后,患者恢复顺利,次日出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/666c/10551623/bea82a0fb03d/fmed-10-1239053-g0001.jpg

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