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Calculus formation on a retained Acucise wire.

J E Johnson1, M Conlin

  • 1Oregon Health Sciences University, Portland, Oregon, USA.

Urology
|February 13, 2001
PubMed
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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.

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  • 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.