Retrograde Intrarenal Surgery for Nephrolithiasis with Partially Migrated Renal Artery Embolisation Coil: A Case Report
Published: May 1, 2023 | DOI: https://doi.org/10.7860/JCDR/2023/62113.17931
Ashit Shah, Nisarg Mehta, Jaimin Shah, Aruj Shah
1. Chief Consultant Urologist, Department of Urology, Aashray Urology Institute, Alkapuri, Vadodara, Gujarat, India.
2. Consultant, Department of Urology, Aashray Urology Institute, Alkapuri, Vadodara, Gujarat, India.
3. Consultant, Department of Urology, Aashray Urology Institute, Alkapuri, Vadodara, Gujarat, India.
4. Consultant, Department of Urology, Aashray Urology Institute, Alkapuri, Vadodara, Gujarat, India.
Correspondence
Ashit Shah,
Chief Consultant Urologist, Department of Urology, Aashray Urology Institute, Alkapuri, Vadodara, Gujarat, India.
E-mail: ashit@aashrayuro.com
Transcatheter renal artery embolisation is an effective and minimally invasive treatment option for acute renal bleeding. However, it is associated with a variety of complications, which can be classified as early or late according to the time of presentation. Coil migration leading to renal calculi formation is a late complication of transcatheter or percutaneous renal arterial embolisation. A 47-year-old diabetic male patient presented with a recurrent right renal staghorn calculus. Four years ago, the patient underwent a right Percutaneous Nephrolithotomy (PCNL). Following the procedure, he had to undergo a renal arterial embolisation for postoperative haemorrhage. The patient this time did not consent for repeat PCNL, therefore a staged right Retrograde Intrarenal Surgery (RIRS) was performed. Complete clearance of stone and extraction of the migrated coil was achieved in a three-staged procedure. Embolisation coils in the proximity of the pelvi-calyceal system, can migrate into the system, and form a nidus for stone formation. These stones and the migrated coil can be managed effectively and safely with RIRS.
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