PCNL · Decision · D12

Wire in the pelvis, nowhere to go

Allow about two minutes for two rounds. This scenario is teaching content; the score supports revision and does not assess clinical competence.

PCNLDecision · Advanced

The scenario

  • Prone PCNL.
  • A good papillary puncture into a posterior lower calyx.
  • The wire is in.
What you see
  • On fluoroscopy the wire coils in the renal pelvis.
  • It will not pass down the ureter.
Plate from the linked animation. Schematic to come: the wire coiled in the pelvis, the ureter not cannulated
Schematic to come: the wire coiled in the pelvis, the ureter not cannulatedSchematic pending
Open the animation

Teaching only · not for diagnosis or treatment decisions