Fragmentation of Severely Encrusted Ureteral Stent Indwelled for 4 Years in a Boy.

Four years ago, a 9-year-old boy received percutaneous nephrolithotomy (PCNL) and a 5F DJS was placed thereafter. The DJS was neglected until it caused serious complications including encrustation involving the whole stent, a 5-cm-diameter vesical stone, fragmentation of DJS, and serious urinary tract infection. For this rare and complex case of pediatric lithotomy, we combined PCNL with the suprapubic cystolithotomy for complete removal of the encrusted stent and associated stones without any complications and the patient was rendered stone- and stent-free safely.

Urology case reports. 2017 Feb 12*** epublish ***

Guangjing Tao, Guojun Wu, Lijun Yang, Fuli Wang, Chao Han, Fei Liu, Jianlin Yuan

Department of Urology, Xijing Hospital, The Fourth Military Medical University, 127 Changlexi Road, Xi'an, 710032, China.