Chronic pyelonephritis secondary to a broken guidewire in the gerota fat during percutaneous nephrolithotomy: a case report

Abstract

Percutanous nephrolithotomy is the gold standard method for large kidney stones currently. It offers high success and low complication rates. Aim There are only a few reports of fractured guidewires inside the pelvicalyceal system, removed with endourology and open surgery techniques, and this is a tour knowledge the first one presenting a broken guidwire in the gerota fat. A 60-year-old man is hospitalized in our department of urology, Mohammed IV university medical center for the management of a PCNL failure in a private clinic.A CT scan showed the presence of a metal device in the gerota fat, we performed an open nephrolithomy, the evolution was favorable. Some equipment used during nlpc can lead to severe issues (broken guidwire and laser fibers) and and open surgery is the only way to resolve the situation.

Keywords

• percutanous nephrolithotomy
• broken guidewire
• chronic pyelonephritis
• open nephrolithotomy