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Related Experiment Videos

Pinball calculus in a ureterosigmoidostomy.

Fabrice Mondet1, Federico Pasqui, Jennifer J Lucas

  • 1Department of Urology, Pitie-Salpetriere Hospital, Paris, France

Urology
|March 18, 2003
PubMed
Summary

A rare complication of extracorporeal shock wave lithotripsy occurred in a patient with ureterosigmoidostomy. A mobile kidney stone migrated between kidneys due to gaseous reflux, but was successfully treated.

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Area of Science:

  • Urology
  • Nephrology

Background:

  • Ureterosigmoidostomy presents unique challenges in managing urinary tract conditions.
  • Renal colic and renal insufficiency necessitate prompt diagnosis and treatment.

Observation:

  • A patient with ureterosigmoidostomy experienced bilateral renal colic and insufficiency due to a highly mobile calculus.
  • Gaseous reflux from the sigmoid colon caused retrograde migration of the stone across the ureteroileal anastomosis.

Findings:

  • The mobile calculus migrated into both ureters and kidneys, complicating treatment.
  • Extracorporeal shock wave lithotripsy was utilized to manage the migrating stone.

Implications:

  • This case highlights the importance of considering anatomical variations and reflux in stone management.

Related Experiment Videos

  • Successful lithotripsy in this complex case demonstrates treatment efficacy despite challenging migration patterns.