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Endourologic and Open Ureterolithotomy and Common Sheath Reimplant for Large Bladder and Distal Ureteral Calculi
- Source :
- Journal of Endourology Case Reports
- Publication Year :
- 2016
- Publisher :
- Mary Ann Liebert Inc, 2016.
-
Abstract
- A twenty-eight-year-old female with a history of suprapubic pain and recurrent urinary tract infections presents for urology referral with a kidney, ureter, and bladder radiograph showing a 4.4 cm bladder calculus and 6.5 cm distal left ureteral stone. She underwent effective cystolitholapaxy of the bladder stone. Endourologic attempt (left ureteroscopy) was unsuccessful because of ureteral stone burden. Findings at ureteroscopy revealed a duplicated system on the left with the lower pole moiety joining just proximal to the ureteral orifice. The stone was found to be in the upper pole moiety ureter. An open ureterolithotomy was performed with intraoperative ureteroscopic laser lithotripsy and common sheath ureteral reimplant. Furthermore, a previously placed stent was found to be encrusted at the time of the ureterolithotomy. Effective ureteroscopy and lasering were performed through the ureterotomy up to the renal pelvis of the upper pole ureter.
- Subjects :
- medicine.medical_specialty
Urology
Urinary system
medicine.medical_treatment
030232 urology & nephrology
Case Report
lithotripsy
Lithotripsy
urologic and male genital diseases
03 medical and health sciences
0302 clinical medicine
Ureter
medicine
Ureteroscopy
medicine.diagnostic_test
business.industry
urolithiasis
Stent
Laser lithotripsy
female genital diseases and pregnancy complications
Surgery
duplicate ureter
medicine.anatomical_structure
030220 oncology & carcinogenesis
ureteroscopy
business
Renal pelvis
Bladder stone
Subjects
Details
- ISSN :
- 23799889
- Volume :
- 2
- Database :
- OpenAIRE
- Journal :
- Journal of Endourology Case Reports
- Accession number :
- edsair.doi.dedup.....68d541aee6af3f3ac16ebbc45b26f6aa