the case of the stuck stone

23
The Case of the Stuck Stone … that started rolling too soon Urology-Radiology Meet 11.2.14

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Page 1: The case of the stuck stone

The Case of the Stuck Stone

… that started rolling too soon

Urology-Radiology Meet11.2.14

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PresentationSA, 4y, M• 2011 - First diagnosed to have a Rt renal

calculus• Managed conservatively• X ray and USG-KUB

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July 2011 - X ray KUB

Age: 1 yr 6 months

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July 2011 - USG KUB

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Jan 2012 - USG KUB

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Jan 2012 - DTPA Scan

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June 2012 - USG KUB

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October 2012 - USG KUB

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Jan 2013 - USG KUB

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Jan 2014 - USG KUB

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Jan 2014 - X Ray KUB

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Jan 2014 - X Ray KUB

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What Next?In view of above, and repeated UTI’s patient was taken up for surgery - a Rt URS was planned

Antibiotics given according to sensitivity before surgeryA Rt URS was done - calculus was pulverised with Holmium Laser - found in the upper ureter - 100% stone clearance achieved

Pt made uneventful recovery

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Intra-Operative Photographs

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Thank You