Incidental Finding of Intrarenal Foreign Guidewire During Percutaneous Nephrolithotomy: A Case Report and Literature Review
Patient: Male, 54-year-old Final Diagnosis: Foreign body in the abdominal cavity Symptoms: Flank pain Clinical Procedure: — Specialty: Urology OBJECTIVE: Challenging differential diagnosis BACKGROUND: Percutaneous nephrolithotomy (PCNL) is indicated for large renal calculi (³2 cm) and is often the t...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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International Scientific Literature, Inc.
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10246727/ https://www.ncbi.nlm.nih.gov/pubmed/37270666 http://dx.doi.org/10.12659/AJCR.939700 |
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author | Xiong, Lin Kwan, Kristine J.S. Hou, Jian Lu, Zhen-Quan Wei, Geng-Geng Xu, Xiang |
author_facet | Xiong, Lin Kwan, Kristine J.S. Hou, Jian Lu, Zhen-Quan Wei, Geng-Geng Xu, Xiang |
author_sort | Xiong, Lin |
collection | PubMed |
description | Patient: Male, 54-year-old Final Diagnosis: Foreign body in the abdominal cavity Symptoms: Flank pain Clinical Procedure: — Specialty: Urology OBJECTIVE: Challenging differential diagnosis BACKGROUND: Percutaneous nephrolithotomy (PCNL) is indicated for large renal calculi (³2 cm) and is often the treatment of choice due to its high success rate. Guidewire fragmentation is a rare procedural accident that can occur in PCNL but may be missed. Retention of the fragment within the upper urinary tract can lead to further complications, such as recurrent nephrolithiasis or impairment of renal function. CASE REPORT: We present the case of a 54-year-old man who experienced right flank pain for 5 days. His history was significant for recurrent nephrolithiasis, managed by PCNL in other hospitals. The most recent procedure was conducted 4 years ago, and his perioperative course was uneventful. Preoperative computed tomography revealed right renal calculi and a C-shaped foreign body. He was scheduled for an elective PCNL. The foreign body was intraoperatively identified as a guidewire fragment and removed. CONCLUSIONS: Currently, there is no standard management for intrarenal foreign bodies. Suspicion should be raised in young patients with recurrent stones within a short period of time. A thorough history on past urological interventions should be obtained. Symptoms can also have an insidious onset that could mimic nephrolithiasis or uri-nary tract infections. Extraction can be done via a standard minimally invasive approach. It is also the surgeon’s responsibility to check the integrity of intraoperative instruments so as to minimize risks of complication and reassure the patient. |
format | Online Article Text |
id | pubmed-10246727 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-102467272023-06-08 Incidental Finding of Intrarenal Foreign Guidewire During Percutaneous Nephrolithotomy: A Case Report and Literature Review Xiong, Lin Kwan, Kristine J.S. Hou, Jian Lu, Zhen-Quan Wei, Geng-Geng Xu, Xiang Am J Case Rep Articles Patient: Male, 54-year-old Final Diagnosis: Foreign body in the abdominal cavity Symptoms: Flank pain Clinical Procedure: — Specialty: Urology OBJECTIVE: Challenging differential diagnosis BACKGROUND: Percutaneous nephrolithotomy (PCNL) is indicated for large renal calculi (³2 cm) and is often the treatment of choice due to its high success rate. Guidewire fragmentation is a rare procedural accident that can occur in PCNL but may be missed. Retention of the fragment within the upper urinary tract can lead to further complications, such as recurrent nephrolithiasis or impairment of renal function. CASE REPORT: We present the case of a 54-year-old man who experienced right flank pain for 5 days. His history was significant for recurrent nephrolithiasis, managed by PCNL in other hospitals. The most recent procedure was conducted 4 years ago, and his perioperative course was uneventful. Preoperative computed tomography revealed right renal calculi and a C-shaped foreign body. He was scheduled for an elective PCNL. The foreign body was intraoperatively identified as a guidewire fragment and removed. CONCLUSIONS: Currently, there is no standard management for intrarenal foreign bodies. Suspicion should be raised in young patients with recurrent stones within a short period of time. A thorough history on past urological interventions should be obtained. Symptoms can also have an insidious onset that could mimic nephrolithiasis or uri-nary tract infections. Extraction can be done via a standard minimally invasive approach. It is also the surgeon’s responsibility to check the integrity of intraoperative instruments so as to minimize risks of complication and reassure the patient. International Scientific Literature, Inc. 2023-06-04 /pmc/articles/PMC10246727/ /pubmed/37270666 http://dx.doi.org/10.12659/AJCR.939700 Text en © Am J Case Rep, 2023 https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) ) |
spellingShingle | Articles Xiong, Lin Kwan, Kristine J.S. Hou, Jian Lu, Zhen-Quan Wei, Geng-Geng Xu, Xiang Incidental Finding of Intrarenal Foreign Guidewire During Percutaneous Nephrolithotomy: A Case Report and Literature Review |
title | Incidental Finding of Intrarenal Foreign Guidewire During Percutaneous Nephrolithotomy: A Case Report and Literature Review |
title_full | Incidental Finding of Intrarenal Foreign Guidewire During Percutaneous Nephrolithotomy: A Case Report and Literature Review |
title_fullStr | Incidental Finding of Intrarenal Foreign Guidewire During Percutaneous Nephrolithotomy: A Case Report and Literature Review |
title_full_unstemmed | Incidental Finding of Intrarenal Foreign Guidewire During Percutaneous Nephrolithotomy: A Case Report and Literature Review |
title_short | Incidental Finding of Intrarenal Foreign Guidewire During Percutaneous Nephrolithotomy: A Case Report and Literature Review |
title_sort | incidental finding of intrarenal foreign guidewire during percutaneous nephrolithotomy: a case report and literature review |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10246727/ https://www.ncbi.nlm.nih.gov/pubmed/37270666 http://dx.doi.org/10.12659/AJCR.939700 |
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