Abstract
Ureteric stents, a good solution to many urologic problems, can lead to significant morbidity if left in situ longer than required. Our case is that of an elderly male with a history of intractable hypertension presenting with urosepsis, anemia, diabetes and chronic renal failure. His work-up revealed a stent in the right kidney with secondary staghorn calcification in the renal pelvis and a large vesical calculus. He had apparently undergone stent placement 12 years previously, but was lost to follow-up due to relocation. A nuclear scan revealed a complete loss of renal function. Cystoscopic stent removal was futile, so he underwent an elective right subcapsular nephrectomy. The specimen revealed pyonephrosis with loculations of pus. Postoperatively his course was uneventful, with the hypertension resolving in 4 weeks.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
AF Bierkens AJ Hendrikx WA Lemmens FM Debruyne (1991) ArticleTitleExtracorporeal shock wave lithotripsy for large renal calculi: the role of ureteral stents. A randomized trial J Urol 145 699–702 Occurrence Handle2005681 Occurrence Handle1:STN:280:By6C2s7js1c%3D
PG Borboroglu CJ Kane (2000) ArticleTitleCurrent management of severely encrusted ureteral stents with a large associated stone burden J Urol 164 648–650 Occurrence Handle10953117 Occurrence Handle1:STN:280:DC%2BD3cvjtVSntg%3D%3D
AN Lupu GJ Fuchs CG Chaussey (1986) ArticleTitleCalcification of ureteral stent treated by extracorporeal shock wave lithotripsy J Urol 136 1297–1298 Occurrence Handle3773110 Occurrence Handle1:STN:280:BiiD3sjgsVY%3D
WJ Somers (1996) ArticleTitleManagement of forgotten or retained indwelling ureteral stents Urology 47 431–435 Occurrence Handle10.1016/S0090-4295(99)80468-3 Occurrence Handle8633417 Occurrence Handle1:STN:280:BymB3MjoslM%3D
I Singh NP Gupta AK Hemal et al. (2001) ArticleTitleSeverely encrusted polyurethane ureteral stents: management and analysis of potential risk factors Urology 58 526–531 Occurrence Handle11597531 Occurrence Handle1:STN:280:DC%2BD3Mrlt1aitQ%3D%3D
CR Riedl M Witkowski E Plas H Pflueger (2002) ArticleTitleHeparin coating reduces encrustation of ureteral stents: a preliminary report Int J Antimicrob Agents 19 507–510 Occurrence Handle12135841 Occurrence Handle1:CAS:528:DC%2BD38Xls1agt7g%3D
DT Beiko BE Knudsen JD Denstedt (2003) ArticleTitleAdvances in ureteral stent design J Endourol 17 195–199 Occurrence Handle10.1089/089277903765444294 Occurrence Handle12816579
M Talja M Multanen T Valimaa P Tormala (2002) ArticleTitleBioabsorbable SR-PLGA horn stent after antegrade endopyelotomy: a case report J Endourol 16 299–302 Occurrence Handle10.1089/089277902760102785 Occurrence Handle12184080
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Gopaldas, R., Rastogi, V. & Gulick, T. A Case of Pyonephrosis Secondary to Ureteral Stent Calculus. Int Urol Nephrol 37, 467–470 (2005). https://doi.org/10.1007/s11255-004-0021-3
Issue Date:
DOI: https://doi.org/10.1007/s11255-004-0021-3