Related Experiment Video
Updated: Nov 21, 2025
05:36
Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
434
Retained Foreign Body Presenting as Pouch Stone After Continent Urinary Diversion
Maya Patel1,2, Amihay Nevo2, Karen L Stern2
1Department of Medicine, University of Arizona College of Medicine-Phoenix, Phoenix, Arizona, USA.
Journal of Endourology Case Reports
|January 18, 2021
Summary
A retained catheter tip caused a urinary stone and infections 10 months after continent urinary diversion surgery. Early stone formation suggests a foreign body complication, not a typical late complication.
Area of Science:
- Urology
- Surgical Complications
- Medical Case Reports
Background:
- Continent urinary diversion is a common alternative to urostomy after cystectomy.
- Urinary tract infections and stone formation are known late complications of continent urinary diversion.
Observation:
- A 41-year-old woman developed recurrent infections and a urinary pouch stone 10 months post-diversion.
- Surgical exploration revealed the stone was a calcified retained catheter tip.
Findings:
- Retained foreign bodies, such as catheter fragments, can lead to early stone formation after urinary diversion.
- This case challenges the typical timeline for complications after continent urinary diversion.
Implications:
- Early onset of urinary stones (<12 months) following urinary diversion warrants investigation for foreign bodies.
- This highlights the importance of meticulous surgical technique and post-operative monitoring to prevent retained surgical items.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
302
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
302
01:25Urinary Tract Calculi VI: Surgical Management
136
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
136
01:30Urinary Tract Calculi III: Medical Management
85
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
85
01:26Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
217
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
217
01:24Ostomy Care
1.3K
Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
1.3K
01:28Urinary Tract Calculi I: Introduction
227
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
227