Journal of Clinical Images and Medical Case Reports
ISSN 2766-7820
Case Report - Open Access, Volume 2
Impacted vesicouretric stone a quagmire settled with holmium laser
Manjeet Kumar1*; Sanjeev Chauhan2
1 Assistant Professor, Department of Urology IGMC, HP, India.
2 Senior Resident, Department of Urology IGMC, HP, India.
*Corresponding Author: Manjeet Kumar
Assistant Professor, Department of Urology IGMC, HP,
India.
Email: [email protected]
Received : Sep 01, 2021
Accepted : Oct 07, 2021
Published : Oct 14, 2021
Archived : www.jcimcr.org
Copyright : © Kumar M (2021).
Citation: Kumar M, Chauhan S. Impacted vesicouretric stone a quagmire settled with holmium laser. J Clin Images Med Case Rep. 2021; 2(5): 1362.
Clinical image description
A 38 years female presented with left flank pain, nausea, and vomiting. Ultrasound and Noncontrast CT scan were suggestive of left hydronephrosis with left Vesicoureteral stone (Figure 1). Conservative medical treatment previously was not successful. Blood investigations were Hb 11.5 gm%, TLC 11500/mm3 , urea 22, creatinine 0.6, urine was full of RBCs. She was taken to the operation theatre for emergency double j stenting. Cystoscopy showed impacted left vesicoureteral stone (Figure 2,3).
DJ stenting was not successful. After lignocaine injection around the stone was fragmented with holmium laser. Complete stone clearance was done. The postoperative period was uneventful.
Impacted vesicoureteral stones are infamous to treat. DJ stent is not possible in these cases hence laser-guided stone fragmentation is the only option when diversion is not possible. Cystoscopy-guided holmium laser fragmentation can be done easily with minimal setup under local anesthesia.