Volume : V, Issue : I, January - 2021
Clinical presentation of foreign bodies is highly variable. We received a 56-year-old male patient with gross hematuria, fever and right flank pain with diagnosis of right renal calculus and incidental finding of left renal mass. He was treated previously for right renal calculi by percutaneous nephrolithotomy which required renal embolization in post-operative period because of excessive bleeding. There was no improvement after angioembolisation & the patient got referred to our tertiary care centre. CECT abdomen with angiography was done which revealed few residual calculi and an artefact in the right kidney which we assumed to be old embolization coils. We performed left partial nephrectomy, but the patient had persistent hematuria and fever. A right double J stenting was done in view of turbid efflux from right ureteric orifice noted in cystoscopy during bladder wash and clots removal. Still, there was no clinical improvement. Hence, we put an ultrasound guided per-cutaneous nephrostomy (PCN) tube on right side which gradually led to significant improvement. Later, in suspicion of foreign body we did right nephroscopy where we encountered two foreign bodies (one coiled metallic wire and another small piece of iobanTM drape) which were removed in toto. Since then, the patient is asymptomatic. Special attention should be paid during evaluation of such patients for any radio opaque shadows detected on imaging. A multidisciplinary uro-radiological approach of such cases is must.
RENAL FOREIGN BODIES: A SURGICAL DIAGNOSTIC DILEMMA, Gaurav Gupta, Hemant Goel, Rajeev Sood, INTERNATIONAL JOURNAL OF ADVANCED MEDICINE : Volume-5 | Issue-1 | January-2021