Transpsoas cystolitholapaxy in a pediatric patient with myelomeningocele, augmented neobladder, and Mitrofanoff appendicovesicostomy

Recurrent urolithiasis is a common and potentially morbid complication of spina bifida. Although the size, the location, and the composition of these stones often necessitates percutaneous intervention, access is often complicated by body habitus and spinal deformity. There is little consensus regar...

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Main Authors: Spencer Lewis, BS, Rajiv N. Srinivasa, MD, Jeffrey Forris Beecham Chick, MD, MPH, DABR, Kate H. Kraft, MD, Casey A. Dauw, MD, Ravi N. Srinivasa, MD
Format: Article
Language:English
Published: Elsevier 2018-04-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043317305381
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spelling doaj-21decbe7790f43368bf30b39e04d93da2020-11-25T01:36:02ZengElsevierRadiology Case Reports1930-04332018-04-01132510512Transpsoas cystolitholapaxy in a pediatric patient with myelomeningocele, augmented neobladder, and Mitrofanoff appendicovesicostomySpencer Lewis, BS0Rajiv N. Srinivasa, MD1Jeffrey Forris Beecham Chick, MD, MPH, DABR2Kate H. Kraft, MD3Casey A. Dauw, MD4Ravi N. Srinivasa, MD5Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109Department of Urology, Division of Endourology, University of Michigan Health System, Ann Arbor, MIDepartment of Urology, Division of Endourology, University of Michigan Health System, Ann Arbor, MIDepartment of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109; Corresponding author.Recurrent urolithiasis is a common and potentially morbid complication of spina bifida. Although the size, the location, and the composition of these stones often necessitates percutaneous intervention, access is often complicated by body habitus and spinal deformity. There is little consensus regarding the approach to percutaneous lithotripsy when a clear path to the collecting system is unavailable, particularly in the setting of surgically augmented urological anatomy. Here we present the first known case in which a pediatric patient with spina bifida underwent percutaneous lithotripsy of bladder stones via a transpsoas approach. Keywords: Cystolitholopaxy, Transpsoas, Mitrofanoff, Appendicovesicostomy, Stone extractionhttp://www.sciencedirect.com/science/article/pii/S1930043317305381
collection DOAJ
language English
format Article
sources DOAJ
author Spencer Lewis, BS
Rajiv N. Srinivasa, MD
Jeffrey Forris Beecham Chick, MD, MPH, DABR
Kate H. Kraft, MD
Casey A. Dauw, MD
Ravi N. Srinivasa, MD
spellingShingle Spencer Lewis, BS
Rajiv N. Srinivasa, MD
Jeffrey Forris Beecham Chick, MD, MPH, DABR
Kate H. Kraft, MD
Casey A. Dauw, MD
Ravi N. Srinivasa, MD
Transpsoas cystolitholapaxy in a pediatric patient with myelomeningocele, augmented neobladder, and Mitrofanoff appendicovesicostomy
Radiology Case Reports
author_facet Spencer Lewis, BS
Rajiv N. Srinivasa, MD
Jeffrey Forris Beecham Chick, MD, MPH, DABR
Kate H. Kraft, MD
Casey A. Dauw, MD
Ravi N. Srinivasa, MD
author_sort Spencer Lewis, BS
title Transpsoas cystolitholapaxy in a pediatric patient with myelomeningocele, augmented neobladder, and Mitrofanoff appendicovesicostomy
title_short Transpsoas cystolitholapaxy in a pediatric patient with myelomeningocele, augmented neobladder, and Mitrofanoff appendicovesicostomy
title_full Transpsoas cystolitholapaxy in a pediatric patient with myelomeningocele, augmented neobladder, and Mitrofanoff appendicovesicostomy
title_fullStr Transpsoas cystolitholapaxy in a pediatric patient with myelomeningocele, augmented neobladder, and Mitrofanoff appendicovesicostomy
title_full_unstemmed Transpsoas cystolitholapaxy in a pediatric patient with myelomeningocele, augmented neobladder, and Mitrofanoff appendicovesicostomy
title_sort transpsoas cystolitholapaxy in a pediatric patient with myelomeningocele, augmented neobladder, and mitrofanoff appendicovesicostomy
publisher Elsevier
series Radiology Case Reports
issn 1930-0433
publishDate 2018-04-01
description Recurrent urolithiasis is a common and potentially morbid complication of spina bifida. Although the size, the location, and the composition of these stones often necessitates percutaneous intervention, access is often complicated by body habitus and spinal deformity. There is little consensus regarding the approach to percutaneous lithotripsy when a clear path to the collecting system is unavailable, particularly in the setting of surgically augmented urological anatomy. Here we present the first known case in which a pediatric patient with spina bifida underwent percutaneous lithotripsy of bladder stones via a transpsoas approach. Keywords: Cystolitholopaxy, Transpsoas, Mitrofanoff, Appendicovesicostomy, Stone extraction
url http://www.sciencedirect.com/science/article/pii/S1930043317305381
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