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.
Radiology case reports. 2017 Dec 29*** epublish ***
Spencer Lewis, Rajiv N Srinivasa, Jeffrey Forris Beecham Chick, Kate H Kraft, Casey A Dauw, Ravi N Srinivasa
Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109., Department of Urology, Division of Endourology, University of Michigan Health System, Ann Arbor, MI.