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Published in: Journal of Medical Case Reports 1/2015

Open Access 01-12-2015 | Case report

Ureteroscopy-assisted retrograde nephrostomy for a large and obstructive renal pelvic stone: a case report

Authors: Takashi Kawahara, Hiroki Ito, Hideyuki Terao, Hiroji Uemura, Yoshinobu Kubota, Junichi Matsuzaki

Published in: Journal of Medical Case Reports | Issue 1/2015

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Abstract

Introduction

We have previously described the use of ureteroscopy-assisted retrograde nephrostomy. However, reaching the target calyx with the ureteroscope is difficult in patients with obstructive renal pelvic stones.

Case presentation

A 53-year-old Japanese woman was referred to our department for the treatment of a right renal stone. She was admitted to our department for percutaneous nephrolithotomy of a right renal stone located at her ureteropelvic junction. A Lawson retrograde nephrostomy puncture wire was subsequently inserted into the flexible ureteroscope, and we successfully punctured the calyx from the target spot to the skin. The nephrostomy was dilated, and the stone fragments were obtained and removed.

Conclusions

We here report the case of a large and obstructive renal stone successfully treated with percutaneous nephrolithotomy using the ureteroscopy-assisted retrograde nephrostomy technique.
Literature
1.
go back to reference Goodwin WE, Casey WC, Woolf W. Percutaneous trocar (needle) nephrostomy in hydronephrosis. J Am Med Assoc. 1955;157(11):891–4.CrossRefPubMed Goodwin WE, Casey WC, Woolf W. Percutaneous trocar (needle) nephrostomy in hydronephrosis. J Am Med Assoc. 1955;157(11):891–4.CrossRefPubMed
2.
go back to reference Obek C, Onal B, Kantay K, Kalkan M, Yalcin V, Oner A, et al. The efficacy of extracorporeal shock wave lithotripsy for isolated lower pole calculi compared with isolated middle and upper caliceal calculi. J Urol. 2001;166(6):2081–4. discussion 2085.CrossRefPubMed Obek C, Onal B, Kantay K, Kalkan M, Yalcin V, Oner A, et al. The efficacy of extracorporeal shock wave lithotripsy for isolated lower pole calculi compared with isolated middle and upper caliceal calculi. J Urol. 2001;166(6):2081–4. discussion 2085.CrossRefPubMed
3.
go back to reference Kawahara T, Ito H, Terao H, Yoshida M, Ogawa T, Uemura H, et al. Ureteroscopy assisted retrograde nephrostomy: a new technique for percutaneous nephrolithotomy (PCNL). BJU Int. 2012;110(4):588–90.CrossRefPubMed Kawahara T, Ito H, Terao H, Yoshida M, Ogawa T, Uemura H, et al. Ureteroscopy assisted retrograde nephrostomy: a new technique for percutaneous nephrolithotomy (PCNL). BJU Int. 2012;110(4):588–90.CrossRefPubMed
4.
go back to reference Hunter PT, Finlayson B, Drylie DM, Leal J, Hawkins IF. Retrograde nephrostomy and percutaneous calculus removal in 30 patients. J Urol. 1985;133(3):369–74.PubMed Hunter PT, Finlayson B, Drylie DM, Leal J, Hawkins IF. Retrograde nephrostomy and percutaneous calculus removal in 30 patients. J Urol. 1985;133(3):369–74.PubMed
5.
go back to reference Hawkins Jr IF, Hunter P, Leal G, Nanni G, Hawkins M, Finlayson B, et al. Retrograde nephrostomy for stone removal: combined cystoscopic/percutaneous technique. AJR Am J Roentgenol. 1984;143(2):299–304.CrossRefPubMed Hawkins Jr IF, Hunter P, Leal G, Nanni G, Hawkins M, Finlayson B, et al. Retrograde nephrostomy for stone removal: combined cystoscopic/percutaneous technique. AJR Am J Roentgenol. 1984;143(2):299–304.CrossRefPubMed
6.
go back to reference Lawson RK, Murphy JB, Taylor AJ, Jacobs SC. Retrograde method for percutaneous access to kidney. Urology. 1983;22(6):580–2.CrossRefPubMed Lawson RK, Murphy JB, Taylor AJ, Jacobs SC. Retrograde method for percutaneous access to kidney. Urology. 1983;22(6):580–2.CrossRefPubMed
Metadata
Title
Ureteroscopy-assisted retrograde nephrostomy for a large and obstructive renal pelvic stone: a case report
Authors
Takashi Kawahara
Hiroki Ito
Hideyuki Terao
Hiroji Uemura
Yoshinobu Kubota
Junichi Matsuzaki
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2015
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-015-0529-4

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