Management Challenges of Ureteral Foreign Body-Clinical Vignette and Review of Literature

Abstract

Foreign body in the ureter is not common. Most cases of eroded foreign body are preceded by an endoscopic or laparoscopic procedure. For most cases, ureteroscopy, holmium laser fragmentation of encrusted or calcified foreign body followed by extraction of foreign body using grasping forceps have provided optimal outcome. The literature review was conducted to assess the challenges in the management of ureteral foreign body in 13 case reports and compared the outcome using a clinical vignette of a 48-year-old female with metallic clip in the left proximal ureters following laparoscopic left hemicolectomy managed successfully with ureteroscopic holmium laser fragmentation and extraction with grasping forceps.

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“…Previous history of open, laparoscopic or robotic surgery should be ascertained if suspicion of foreign body is held. 29 Ultrasound is usually the initial imaging of choice because it is cheap, safe and without radiation. It can identify stones along the renal collecting system as well as documenting hydronephrosis.…”