An unusual case of an 0.018-inch (0.457 mm) guidewire fracture during primary percutaneous nephrostomy for percutaneous nephrolithotomy treated without removal and followed up for 5 years: A case report and literature review

Abstract

Introduction: Although rare, guidewire fractures can occur during interventional procedures. In most cases, the fractured guidewire segment can be removed. Patient concerns: We 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. Diagnosis: Nephrolithiasis. Interventions: PCN and percutaneous nephrolithotomy. Outcomes: In 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. Conclusion: When 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.