PMC128810_01
Stone fragments grasped from left kidney. Arrow indicates the fragment that caused tearing and rupture of the sheath.
1471-2490-2-10-1.jpg
PMC128810_01_1471-2490-2-10-1.jpg
F1
Two fragments of five and seven milimeters were grasped without difficulty and an attempt was made to grasp a fragment of 12 x 7 milimeters with serrated and sharpened edges (Figure 1).
Animation of the appearance of the sheath and stone fragment (upper); tearing and rupture of the sheath tip (lower).
1471-2490-2-10-2.jpg
PMC128810_01_1471-2490-2-10-2.jpg
F2
The stone fragment was still located at the tip and there was a deep rupture at the sidewall of the sheath (Figure 2).