Stone Formation from Nonabsorbable Clip Migration into the Collecting System after Robot-Assisted Partial Nephrectomy. (23rd February 2014)

• Record Type: Journal Article
• Authors: Lee, Ziho; Reilly, Christopher E.; Moore, Blake W.; Mydlo, Jack H.; Lee, David I.; Eun, Daniel D.
• Other Names: Goel A. Academic Editor.; Hong S. K. Academic Editor.; Liao C. Academic Editor.; Ramezanzadeh F. Academic Editor.
• Is Part Of: Case reports in urology. Volume 2014(2014)
• Publication Date: 2014-02-23
• Subjects: Urology -- Periodicals; Urology -- Case studies -- Periodicals; Genitourinary organs -- Diseases -- Periodicals; Urologic Diseases; Genitourinary organs -- Diseases; Urology; Periodicals; Case studies; Periodicals; 616.6005
• DOI: 10.1155/2014/397427
• Languages: English
• ISSNs: 2090-696X

Abstract

Abstract : We describe a case in which a Weck Hem-o-lok clip (Teleflex, Research Triangle Park, USA) migrated into the collecting system and acted as a nidus for stone formation in a patient after robot-assisted partial nephrectomy. The patient presented 2 years postoperatively with left-sided renal colic. Abdominal computed tomography scan showed a 10 millimeter renal calculus in the left middle pole. After using laser lithotripsy to fragment the overlying renal stone, a Weck Hem-o-lok clip was found to be embedded in the collecting system. A laser fiber through a flexible ureteroscope was used to successfully dislodge the clip from the renal parenchyma, and a stone basket was used to extract the clip.