Urology, AIIMS Jodhpur, Jodhpur, Rajasthan, India.
Urology, AIIMS Jodhpur, Jodhpur, Rajasthan, India
BMJ Case Rep. 2023 Dec 21;16(12):e256581. doi: 10.1136/bcr-2023-256581.
During this era of advanced and minimally invasive procedures for treating urolithiasis, percutaneous nephrolithotomy (PCNL) remains the primary choice for removing large renal calculi. While there are various known complications associated with PCNL, such as bleeding, sepsis and injury to neighboring organs, the occurrence of retained foreign bodies as a result of the procedure is rarely reported. In this case report, we present a unique instance of encrustation involving a retained guidewire sheath following PCNL, which was initially mistaken for a residual stone fragment in imaging studies. Fortunately, the foreign body was successfully removed using retrograde intrarenal surgery.
在这个先进的、微创的治疗尿石症的时代，经皮肾镜碎石术（PCNL）仍然是去除大肾结石的主要选择。虽然 PCNL 有各种已知的并发症，如出血、败血症和邻近器官损伤，但由于该手术导致的异物残留的情况很少有报道。在本病例报告中，我们报告了一例独特的 PCNL 后导丝护套嵌顿的病例，该病例最初在影像学检查中被误诊为残留的结石碎片。幸运的是，通过逆行肾内手术成功取出了异物。
