Migration of a Hem-o-Lok Clip to the Ureter Following Laparoscopic Partial Nephrectomy Presenting With Lower Urinary Tract Symptoms

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 ha...

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Main Authors: Kyung Seo Park, Young Jin Sim, Han Jung
Format: Article
Language:English
Published: Korean Continence Society 2013-06-01
Series:International Neurourology Journal
Subjects:
Online Access:http://www.einj.org/upload/pdf/inj-17-2-90-9.pdf
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author Kyung Seo Park
Young Jin Sim
Han Jung
author_facet Kyung Seo Park
Young Jin Sim
Han Jung
author_sort Kyung Seo Park
collection DOAJ
description 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 cm×1.0 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.
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spelling doaj.art-aba4dbdd05464245ad46b6d82927ad302022-12-22T02:03:26ZengKorean Continence SocietyInternational Neurourology Journal2093-47772093-69312013-06-01172909210.5213/inj.2013.17.2.90118Migration of a Hem-o-Lok Clip to the Ureter Following Laparoscopic Partial Nephrectomy Presenting With Lower Urinary Tract SymptomsKyung Seo ParkYoung Jin Sim0Han Jung1 Department of Urology, Gachon University Gil Medical Center, Gachon University of Medicine and Science, Incheon, Korea Department of Urology, Gachon University Gil Medical Center, Gachon University of Medicine and Science, Incheon, KoreaWe 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 cm×1.0 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.http://www.einj.org/upload/pdf/inj-17-2-90-9.pdfNephrectomySurgical instrumentsUreteral calculi
spellingShingle Kyung Seo Park
Young Jin Sim
Han Jung
Migration of a Hem-o-Lok Clip to the Ureter Following Laparoscopic Partial Nephrectomy Presenting With Lower Urinary Tract Symptoms
International Neurourology Journal
Nephrectomy
Surgical instruments
Ureteral calculi
title Migration of a Hem-o-Lok Clip to the Ureter Following Laparoscopic Partial Nephrectomy Presenting With Lower Urinary Tract Symptoms
title_full Migration of a Hem-o-Lok Clip to the Ureter Following Laparoscopic Partial Nephrectomy Presenting With Lower Urinary Tract Symptoms
title_fullStr Migration of a Hem-o-Lok Clip to the Ureter Following Laparoscopic Partial Nephrectomy Presenting With Lower Urinary Tract Symptoms
title_full_unstemmed Migration of a Hem-o-Lok Clip to the Ureter Following Laparoscopic Partial Nephrectomy Presenting With Lower Urinary Tract Symptoms
title_short Migration of a Hem-o-Lok Clip to the Ureter Following Laparoscopic Partial Nephrectomy Presenting With Lower Urinary Tract Symptoms
title_sort migration of a hem o lok clip to the ureter following laparoscopic partial nephrectomy presenting with lower urinary tract symptoms
topic Nephrectomy
Surgical instruments
Ureteral calculi
url http://www.einj.org/upload/pdf/inj-17-2-90-9.pdf
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