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2022, Number 1

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Mediciego 2022; 28 (1)

Fragmented and calcified double J catheter in obstructed kidney. Case report

Rodríguez-Cruzata L, Santiesteban-Bello AN, Santiesteban-Bello L
Full text How to cite this article

Language: Spanish
References: 6
Page: 1-11
PDF size: 494.42 Kb.


Key words:

covid-19, catheters/adverse effects, renal artery obstruction, acute kidney injury, renal colic, cystoscopy, nephrolithiasis, cases reports.

ABSTRACT

Introduction: the kidneys maintain an adequate balance of fluids in the body, remove waste and eliminate toxins from the blood. The ureteral catheter is used when there is obstruction to open the ureter and allow the passage of urine from the kidney to the bladder.
Objective: to present the clinical situation of a patient who had a left double J catheter inserted and who presented complications as a result of COVID-19.
Presentation of the case: a 37-year-old female patient with a history of being a habitual expeller of lithiasis; She has undergone surgery on several occasions for lithiasis of the right kidney. She had a left double J catheter inserted due to ureteropelvic junction stenosis. During the pandemic, it was not possible to change the catheter in the established time, nor to remove it endoscopically. Therefore, the open procedure was planned and could not be carried out either. The patient came eight months later with a picture of renal colic and acute renal failure. Emergency surgery is carry out. A nephrostomy and a simple ureteral catheter were left through the orifice, which were removed after a month. The results and evolution were satisfactory.
Conclusions: after emergency surgery for the calcified and fragmented double J catheter in the obstructed kidney, the patient had a favorable evolution with follow-up in consultation with renal ultrasound and blood chemistry tests, with normal results.


REFERENCES

  1. Flores-Lombeyda GA, Chung-Villavicencio JR, Veletanga-Mena AV, Carbo-Palacio JA. Riesgo-Beneficio en el uso del catéter doble J en pacientes con insuficiencia renal aguda. RECIAMUC [Internet]. 2019 [citado 20 Jun 2021];3(3):137-52. Disponible en: http://reciamuc.com/index.php/RECIAMUC/article/view/271

  2. López-Baltodano EE. Manejo de pacientes con catéteres doble J calcificados atendidos en el servicio de urología del hospital escuela “Dr. Antonio Lenin Fonseca” de enero 2017 a enero 2019 [Internet]. Managua: Universidad Nacional Autónoma de Nicaragua 2019 [citado 20 Jun 2021]. Disponible en: https://repositorio.unan.edu.ni/13449/1/TESIS%20FINAL.pdf

  3. Papaginovic-Leiva MM, Nicolini ME, Serrano MH, Mojico ER, Martínez RD. Litiasis coraliforme con calcificación bilateral de catéteres doble J como causa de ingreso a diálisis, su evolución y complicaciones. Rev Nefrol Dial Traspl [Internet]. 2019 [citado 20 jun 2021];39(3):224-27. Disponible en: http://vps-1689312-x.dattaweb.com/index.php/rndt/article/download/470/919

  4. Muruato-Araiza JS, Reyna-Blanco I, Jimenez-García A, Martínez-Salas A, Lopez-Maguey R, Hernandez-Mendez A, et. al. Manejo postoperatorio de catéter doble J en ureteroscopias, síntomas y complicaciones. Rev Mex Urol [Internet]. 2019 [citado 20 jun 2021];79(6):1-6. Disponible en: https://www.medigraphic.com/pdfs/uro/ur-2019/ur196c.pdf

  5. Coronel-Durazno MJ, Pachucho-Pizarro CO. Complicaciones postoperatorias del catéter doble J en pacientes con uropatía obstructiva en el hospital de la policía nacional Guayaquil - 2 desde enero 2016 hasta mayo 2018 [Internet]. Guayaquil: Universidad Católica de Santiago de Guayaquil; 2019 [citado 20 jun 2021]. Disponible en: http://repositorio.ucsg.edu.ec/bitstream/3317/12931/1/T-UCSG-PRE-MED-790.pdf

  6. Camacho-Castro AC, Inzunza-Aguilar MC, Aceves-Tello LS, Ramírez-Hermosillo JA, López-Chávez MA, Hernández-Félix VP. Litiasis renal bilateral y catéter doble J calcificado grado V: acceso percutáneo en posición supina. A propósito de un caso. Rev Mex Uro [Internet]. 2018 [citado 20 jun 2021];78(4):310-14. Disponible en: http://www.scielo.org.mx/pdf/rmu/v78n4/2007-4085-rmu-78-04-




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Mediciego. 2022;28