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Voluminous "cobra-head" stone in a duplex system ureterocele: combined cysto-ureteroscopic and percutaneous
Maria Grazia Scuderi1, Francisca Yankovic, Neil Featherstone
1Department of Paediatric Urology, Great Ormond Street Hospital NHS Foundation Trust, London, UK.
Abstract:
We report a case of a 7-year-old boy with a voluminous 8.5-cm "cobra-head" calculus in a duplex system ureterocele causing flank pain, hematuria, and infection. Combined cysto-ureteroscopy and percutaneous cystolithotomy enables dependent ureterocele incision along its inferolateral border and efficient stone clearance in a single minimally invasive procedure. Protracted and repeated urethral instrumentation is avoided.
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