[A CASE REPORT OF FUNGUS BALL FOUND DURING TRANSURETHRAL URETEROLITHOTOMY]
Motoki Sato1, Shuko Yoneyama1, Masahiro Yanagisawa1
1Department of Urology, National Hospital Organization Yokohama Medical Center.
Nihon Hinyokika Gakkai Zasshi. the Japanese Journal of Urology
|January 21, 2020
Summary
This study reports the first instance of fungus balls, identified as Candida tropicalis, found during ureterolithotomy surgery. These fungal masses complicated the removal of bilateral ureteral calculi in a 61-year-old male patient.
Area of Science:
- Urology
- Mycology
- Infectious Diseases
Background:
- Bilateral ureteral calculi pose a significant clinical challenge.
- Transurethral ureterolithotomy is a common procedure for stone removal.
- Fungal infections in the urinary tract can lead to complications.
Observation:
- During ureterolithotomy, extensive white, fluffy material obstructed the surgical field.
- This material was repeatedly encountered across multiple surgical attempts.
- The material was located within the renal pelvis.
Findings:
- Fungal balls, characterized as circular collections of Candida tropicalis, were confirmed.
- This represents the first reported case of Candida tropicalis fungus balls during ureterolithotomy.
- Cultures definitively identified Candida tropicalis as the causative agent.
Implications:
- Highlights a rare but significant complication of ureterolithotomy.
- Suggests the need for increased awareness of fungal ball formation in complex urinary stone cases.
- May inform diagnostic and treatment strategies for urinary tract fungal infections.
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