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