遗忘留置dj支架伴包覆的影像学分析

Harsh Sutariya, Vaidehi Pandya
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引用次数: 0

摘要

15年前,一位来自偏远农村地区的贫困、未受教育的男性患者因梗阻性尿路病变接受了双J (D.J.支架)右开肾盂取石术。他的主要症状如下:右侧疼痛、尿流中断和排尿灼烧。超声示右肾大体肾积水伴多发结石及D.J.支架。膀胱内也可见D.J.支架,支架顶端有结痂。dj支架中部未可见。随后,x线片示右侧肾盂和膀胱内支架破碎并结痂,取下支架,行膀胱取石术。影像学在检测此类断裂或遗忘的支架中起着关键作用,可以指导早期和及时的处理以防止并发症。
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Imaging of forgotten indwelling D.J. stent with encrustment

A poor, uneducated male patient from a remote rural place had undergone Right open pyelolithotomy with Double J (D.J. stent) stenting for obstructive uropathy 15 years ago. He presented with the following prevailing conditions: right flank pain, interrupted urinary stream and burning micturition. Ultrasound showed Gross Hydronephrosis with multiple calculi and D.J. stent in the right kidney.

Urinary bladder also showed presence of D.J. stent with encrustment around the tip of the stent.

The mid part of D.J. stent was not visualized. Later, on X-ray, broken parts of the stent with encrustment were seen in the right renal pelvis and bladder, which were removed, and cystolithotomy was done. Imaging plays a pivotal role in detection of such broken or forgotten stents and can direct early and prompt management to prevent complications.

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