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Simultaneous Ureteral and Renal Foreign Bodies.
Maximiliano Lopez Silva1,2, Horacio Sanguinetti2,3, Santiago Battiston2
1Department of Urology, Hospital P Piñero, Buenos Aires, Argentina.
Journal of Endourology Case Reports
|August 8, 2020
Summary
Foreign bodies, like embolization coils, can cause complications after kidney stone treatment. Successful removal of these foreign bodies and stones was achieved using minimally invasive surgery.
Area of Science:
- Urology
- Medical Imaging
- Interventional Radiology
Background:
- Foreign bodies in the urinary tract can present with varied clinical symptoms.
- Previous percutaneous nephrolithotomy and renal embolization for kidney stones can lead to retained foreign material.
Observation:
- A 55-year-old female presented with fever and right flank pain post-kidney stone treatment.
- CT imaging revealed metallic densities in the kidney and ureter, alongside lower calix stones.
- Ureteroscopy confirmed foreign bodies and stones in the kidney and ureter.
Findings:
- Embolization coils, used during a prior renal embolization procedure, were identified as the foreign bodies.
- Complete removal of both the foreign bodies (embolization coils) and kidney stones was successfully performed.
- The surgical procedures included semirigid ureteroscopy and retrograde intrarenal surgery.
Implications:
- This case highlights the potential for retained embolization coils to cause complications after kidney stone interventions.
- Minimally invasive techniques like ureteroscopy and retrograde intrarenal surgery are effective for foreign body and stone removal.
- Careful surgical planning and imaging are crucial to prevent and manage retained foreign bodies in the genitourinary tract.
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