RESUMO
Complications of gunshot injuries of the kidney usually present in the early postoperative period. We describe a case of a cartridge's plastic detonating cap retained in the renal pelvis of a young male patient for 12 years. Renal colic was the cause of admission. This missile's part was mimicking a renal stone on both an intravenous urogram and a CT scan. The nature of the "stone" was identified during a percutaneous nephrolithotomy procedure during which the foreign body was removed.
Assuntos
Reação a Corpo Estranho/terapia , Cálculos Renais/terapia , Nefrostomia Percutânea/métodos , Ferimentos por Arma de Fogo/diagnóstico , Adulto , Diagnóstico Diferencial , Reação a Corpo Estranho/diagnóstico , Humanos , Cálculos Renais/diagnóstico por imagem , Pelve Renal/diagnóstico por imagem , Pelve Renal/fisiopatologia , Masculino , Radiografia , Medição de Risco , Fatores de Tempo , Resultado do TratamentoRESUMO
We present the case of a 34-year-old woman who presented with a stone fragment stuck near her distal urethra without obstruction of her urinary flow. During an attempt to explore and remove the fragment, she was discovered to have complete urethral duplication with the stone stuck in one of two distal urethral orifices. This represents an extremely rare variant of a very unusual congenital anomaly, even more so as it occurs usually in male patients. Embryology, etiology, and clinical appearance of this rare anomaly are discussed.
Assuntos
Uretra/anormalidades , Doenças Uretrais/congênito , Adulto , Cistoscopia , Diagnóstico Diferencial , Feminino , Humanos , Doenças Uretrais/diagnóstico , UrografiaRESUMO
The increasing use of ureteric stents including permanent ones is not without their own set of problems. The authors describe the difficulties encountered and a novel technique to reposition a permanent ureteric stent migrated into the kidney with an illustrated case. The same technique can also be applied to a-traumatically remove the stent if required.