Management Challenges of Ureteral Foreign Body- Clinical Vignette and Review of Literature

Foreign body in the ureter is not common. Most cases of eroded foreign body are preceded by an endoscopic or laparoscopic procedure. For most cases, ureteroscopy, holmium laser fragmentation of encrusted or calcified foreign body followed by extraction of foreign body using grasping forceps have provided optimal outcome. The literature review was conducted to assess the challenges in the management of ureteral foreign body in 13 case reports and compared the outcome using a clinical vignette of a 48-year-old female with metallic clip in the left proximal ureters following laparoscopic left hemicolectomy managed successfully with ureteroscopic holmium laser fragmentation and extraction with grasping forceps.

Small bowel obstruction due to phytobezoar and adhesions following laparoscopic cholecystectomy

<p>We report a case of 51 –year-old female with history of laparoscopic cholecystectomy presented with abdominal pain and diagnosed as small bowel obstruction caused by adhesions. The initial presentation was periumbilical pain with nausea and vomiting. Plain abdominal radiograph showed dilated small bowel loops and multiple air fluid levels. Due to failure of conservative treatment, laparotomy was performed. An open metallic clip was adhering the bowel to the gallbladder fossa causing sharp angulation. A phytobezoar proximal to this angulation was exteriorized through enterotomy. The patient was recovered smoothly and discharged from our hospital.</p>