PMC9876819_01
A: In the sagittal plane of abdominal CT scanning images, the foreign body passes through the right lower renal pole (shown by the arrow). B: CT reconstruction image of foreign body. C: Gastroscopy picture of the patien.
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Abdominal enhanced CT scanning showed that there were strip-shaped high-density shadows in the lower pole of the right kidney and the tissue around the right kidney, extending forward to the descending segment of the duodenum, considering the possibility of foreign bodies (Fig. 1A-B). Combined with CT scanning, it is not excluded that the foreign body extends outward and embeds into the lower pole of the right kidney (Fig. 1 C).
A-F Surgical procedure: 2A: A foreign body penetrated into the intestinal wall under endoscopy. 2B: Remove the foreign body. 2C: Perforation of intestinal wall after removal of foreign body. 2D: Hemostatic clip sutured the perforation. 2E:The gastric tube was indwelt. 2F:The foreign body is 62mm.
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On the premise that urology and general surgery are well prepared for open surgery, the patient, under general anesthesia, underwent extracorporeal ultrasound-assisted endoscopic duodenum-right renal foreign body removal and hemostatic clamp suture was performed at the perforation(Fig. 2A-F).
A: Intraoperative ultrasound monitoring: the foreign body is located in the duodenum-right lower renal pole (shown by the arrow). B:On the 4th day after operation, recheck the abdominal CT scanning image: dense shadow (hemostatic clips) can be seen in the descending segment of duodenum, showing changes after removal of foreign body.
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During the operation, the foreign body was pulled out from the lower pole of the right kidney through extracorporeal ultrasound monitoring (Fig. 3 A). On the 4th day after the operation, abdominal CT scanning showed that a dense shadow (hemostatic clip) was seen in the descending segment of the duodenum, showing changes after foreign body removal (Fig. 3 B).