Open AccessBilateral Staghorn Calculus with Forgotten Double J Stent in Ileal Conduit Patient – A Rare Urological Challenge
Author(s) -
Rupesh Gupta,
Ranjan Kumar Dey,
Rakesh Kumar Sharma,
Sweta Gupta
Publication year - 2017
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2017/24704.10074
Subject(s) - medicine , percutaneous nephrolithotomy , extracorporeal shock wave lithotripsy , surgery , staghorn calculus , stent , lithotripsy , calculus (dental) , percutaneous , urinary diversion , cystectomy , ureter , electrical conduit , general surgery , bladder cancer , cancer , engineering , mechanical engineering , dentistry
Forgotten DJ stent associated stone formation is not an uncommon entity. Here we are reporting the uncommon case of bilateral staghorn calculus due to forgotten DJ stent who had undergone radical cystectomy with ileal conduit diversion six years back. Management of these cases is a challenging urological situation due to inaccessible ureteric orifices. Patient was successfully treated with minimally invasive therapy in the form of combined bilateral PCNL (Percutaneous Nephrolithotomy) and ESWL (Extracorporeal Shock Wave Lithotripsy) therapy. The purpose of reporting this case is to highlight the grave consequences of a forgotten DJ stent and to discuss the difficulties encountered during the surgical steps of stone removal.