A case of retrograde ureteroscopic lithotripsy via ileal conduit after urinary diversion

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  • 回腸導管造設術後の上部尿路結石に対し逆行性尿路砕石術が有効だった1例
  • 症例報告 回腸導管造設術後の上部尿路結石に対し逆行性尿路砕石術が有効だった1例
  • ショウレイ ホウコク カイチョウ ドウカンゾウセツジュツゴ ノ ジョウブ ニョウロ ケッセキ ニ タイシ ギャッコウセイ ニョウロ サイセキジュツ ガ ユウコウ ダッタ 1レイ

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<p>  A 67-year-old woman with an ileal conduit underwent retrograde ureteroscopic lithotripsy. She had previously undergone radical hysterectomy and pelvic lymphadenectomy for cervical cancer at the age of 55. During adjuvant radiotherapy, she developed bilateral hydronephrosis. Bilateral percutaneous nephrostomy was performed. However, to manage recurrent urinary tract infections, she then underwent ileal conduit urinary diversion surgery at the age of 58. After surgery, no urinary tract infections occurred, but she again presented with fever and right flank pain. Computed tomography (CT) revealed a 9mm right ureteral stone impacted at the crossing of the common iliac artery bifurcation with attendant ipsilateral hydronephrosis, recognized as pyelonephritis. She underwent retrograde ureteral stent insertion under radiographic guidance. Retrograde lithotripsy was performed at a later date. At 1 year after surgery, urolithiasis and urinary tract infection have not re-occurred.</p>

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