Fremdkörpermaterial im proximalen Ureter nach selektiver Nierenarterienembolisation

Abstract

Colic attacks by a foreign body in the urinary tract are very rare and mostly follow iatrogenic manipulation. This case report focuses on ureteric colic thought to result from radiological embolisation material. It is of practical interest because embolisation of prolonged bleeding after endourological procedures is widely done.An 80-year-old woman with a long history of nephrolithiasis underwent percutaneous nephrolithotomy. She suffered from a continuous, transfusion-obligatory bleeding. The source of bleeding was treated with embolisation by coiling. About 2 years later, the patient presented with persistent pain on the right abdominal side and urinary obstruction. A dislocation of the coils into the ureteropelvic junction was diagnosed. After primary ureteral stenting, the foreign body was removed via ureterotomy.

Migrated embolization coil: A rare cause of urinary tract obstruction

“…We found only three case reports in which embolization coil migrated to the collecting system. [8–10] In all these case reports the coil eroded after 1 year following embolization. All the three patients presented with hematuria and renal colic.…”

A guidewire introducer as a ureteral foreign body: A case report

“…[1][2][3][4][5][6][7] The main problems with ureteral foreign bodies are infections and obstructions due to calcifications. We report an unusual case of ureteral foreign body along with ureteral stenosis.…”