Migration of a Hem-o-Lok Clip to the Ureter Following Laparoscopic Partial Nephrectomy Presenting With Lower Urinary Tract Symptoms.
- Author:
Kyung Seo PARK
1
;
Young Jin SIM
;
Han JUNG
Author Information
1. Department of Urology, Hyun-Dai UVIS Hospital, Incheon, Korea.
- Publication Type:Case Report
- Keywords:
Nephrectomy;
Surgical instruments;
Ureteral calculi
- MeSH:
Carcinoma, Renal Cell;
Female;
Flank Pain;
Humans;
Hydronephrosis;
Lower Urinary Tract Symptoms;
Nephrectomy;
Surgical Instruments;
Ureter;
Ureteral Calculi;
Ureteroscopy
- From:International Neurourology Journal
2013;17(2):90-92
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of ureteral migration of a surgical clip after partial nephrectomy in which the clip was misdiagnosed as a ureteral stone. A 37-year-old woman had undergone laparoscopic partial nephrectomy of right renal cell carcinoma at another hospital 2 years previously. Postoperatively, she had gradually acquired lower urinary tract symptoms. Then, she complained of sudden right flank pain for a week. A plain X-ray and enhanced abdominopelvic computed tomography scan were performed. A 0.5 cmx1.0 cm right upper ureteral opacity with borderline hydronephrosis was seen but could not be found on the X-ray. Ureteroscopy revealed a medium-sized Hem-o-Lok clip on the right upper ureter that was removed with a stone basket. We concluded that a Hem-o-Lok clip used for collecting system sealing had migrated to the ureter and had been misdiagnosed as a ureteral stone on a computed tomography scan.
