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- Seunghoon Oh, Bum Sang Cho, Yook Kim, Jisun Lee, Kyung Sik Yi, and Sang-Cheol Lee.
- Department of Radiology, Chungbuk National University Hospital, Cheongju, South Korea.
- Medicine (Baltimore). 2024 Aug 9; 103 (32): e39281e39281.
IntroductionAlthough rare, guidewire fractures can occur during interventional procedures. In most cases, the fractured guidewire segment can be removed.Patient ConcernsWe report the case of a 54-year-old woman who experienced a guidewire fracture during percutaneous nephrostomy (PCN) for percutaneous nephrolithotomy to remove renal stones.DiagnosisNephrolithiasis.InterventionsPCN and percutaneous nephrolithotomy.OutcomesIn this case, the remaining segment could not be removed and caused inflammation and infection. However, her symptoms improved with inpatient treatment. Therefore, she was discharged from the hospital and followed up for 5 years.ConclusionWhen performing PCN to remove renal stones, the possibility of a guidewire fracture must be considered. If resistance or scraping is felt while handling the guidewire, then it should be replaced.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.
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