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Calculus formation on a retained Acucise wire
1Oregon Health Sciences University, Portland, Oregon, USA.
Urology
|February 13, 2001
Summary
A retained Acucise catheter wire after ureteropelvic junction obstruction treatment led to stone formation. This case highlights a rare complication of ureteral calculus formation due to fractured surgical wire.
Area of Science:
- Urology
- Surgical Complications
- Nephrolithiasis
Background:
- Ureteropelvic junction obstruction is a common congenital anomaly.
- The Acucise cutting balloon catheter is used to treat ureteropelvic junction obstruction.
- Complications associated with ureteropelvic junction obstruction treatment are rare.
Observation:
- A patient developed an obstructing calculus at the ureteropelvic junction.
- The calculus formed after treatment with the Acucise cutting balloon catheter.
- A fractured cutting wire was found embedded within the calculus.
Findings:
- This is the first reported case of a fractured and retained Acucise cutting wire.
- The retained wire led to the formation of a ureteral calculus.
- The calculus obstructed the ureteropelvic junction.
Implications:
- Highlights a novel complication of Acucise catheter use.
- Suggests the need for vigilance regarding retained surgical materials.
- Informs surgical techniques and device design for ureteropelvic junction obstruction treatment.