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Published on: March 15, 2024
Retroperitoneal abscess caused by dropped renal stones
Ali Kord1, Andre Thomas2, Jayaram Mohan2
1Division of Interventional Radiology, Department of Radiology, University of Cincinnati, 234 Goodman Street, ML 0761, Cincinnati, OH 45267 USA.
A rare case of retroperitoneal abscess caused by dropped renal stones after surgery is presented. Early drainage and antibiotics effectively treated this complication, highlighting the importance of imaging in diagnosis.
Area of Science:
- Nephrology
- Urology
- Radiology
Background:
- Staghorn calculi are associated with recurrent UTIs and may require surgical intervention.
- Robotic partial nephrectomy and nephrolithotomy are procedures for managing complex renal stones.
Observation:
- A 55-year-old female with a history of staghorn calculi presented with flank pain post-surgery.
- CT revealed a retroperitoneal fluid collection with dropped renal stones.
Findings:
- The case describes a rare retroperitoneal abscess formation secondary to dropped renal stones.
- Percutaneous drainage and antibiotics led to a positive clinical response.
Implications:
- This case underscores the diagnostic utility of imaging, particularly CT and ultrasound, for dropped renal stones.
- Prompt recognition and management are crucial for treating retroperitoneal abscesses caused by renal stones.
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