the case of the stuck stone
Post on 23-Feb-2017
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The Case of the Stuck Stone
… that started rolling too soon
Urology-Radiology Meet11.2.14
PresentationSA, 4y, M• 2011 - First diagnosed to have a Rt renal
calculus• Managed conservatively• X ray and USG-KUB
July 2011 - X ray KUB
Age: 1 yr 6 months
July 2011 - USG KUB
Jan 2012 - USG KUB
Jan 2012 - DTPA Scan
June 2012 - USG KUB
October 2012 - USG KUB
Jan 2013 - USG KUB
Jan 2014 - USG KUB
Jan 2014 - X Ray KUB
Jan 2014 - X Ray KUB
What Next?In view of above, and repeated UTI’s patient was taken up for surgery - a Rt URS was planned
Antibiotics given according to sensitivity before surgeryA Rt URS was done - calculus was pulverised with Holmium Laser - found in the upper ureter - 100% stone clearance achieved
Pt made uneventful recovery
Intra-Operative Photographs
Thank You
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