Percutaneous Identification and Removal of Fungus Ball from Renal Pelvis

Abramowitz, Joel; Fowler, Jackson E.; Talluri, Krishna; Stobnicki, Marek; McCarthy, Patrick; Ray, Vera; Ray, Paul S.

doi:10.1016/s0022-5347(17)46051-4

Cited by 17 publications

(5 citation statements)

References 3 publications

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“…When fungus ball is present in the renal pelvis, the general suggestion in the literature is surgical intervention, local irrigation with amphotericin B and i.v. amphotericin B alone or in combination with flucytosine/fluconazole 1,2,4–10,12–22 . Surgical intervention, an important part of treatment, removed the obstruction and improved renal function immediately in the present patient.…”

Section: Discussionmentioning

confidence: 70%

Acute renal failure caused by fungus balls in renal pelvises

Kıyak

Alev

Canpolat

et al. 2009

Pediatrics International

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Section: Discussionmentioning

confidence: 70%

Acute renal failure caused by fungus balls in renal pelvises

Kıyak

Alev

Canpolat

et al. 2009

Pediatrics International

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“…Percutaneous or open nephrostomy, nephroscopic removal of fungus balls, or open surgery can be performed, according to the clinical indication and the experience of the center [24,25,26]. In our patient we promptly placed bilateral percutaneous nephrostomy tubes because of acute obstructive renal failure.…”

Section: Discussionmentioning

confidence: 96%

The longest use of liposomal amphotericin B and 5-fluorocytosine in neonatal renal candidiasis

Bıyıklı

Tuğtepe

Akpınar

et al. 2004

Pediatric Nephrology

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Bilateral fungal obstruction of the renal collecting system is rare in infancy. Treatment options include medical or surgical procedures. Reports of successful medical treatment with liposomal amphotericin B have been published but the duration of treatment is controversial. We report a 3-week-old preterm baby with myelomeningocele who had experienced acute renal failure related to bilateral renal fungus balls, which improved with percutaneous nephrostomy and 12 weeks of liposomal amphotericin B intravenously combined with 5-fluorocytosine orally for 9 weeks.

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“…e current mainstay of treatment is percutaneous nephrostomy which is used to successfully manage patients with obstructive uropathy secondary to such infections. Nephrostomy both relieves the obstruction and also provide direct access for antifungal instillation as well as percutaneous and identification and possible removal of fungal ball [2,5].…”

Section: Discussionmentioning

confidence: 99%

Successful Endoscopic Management of a Renal Fungal Ball using Flexible Ureterorenoscopy

Abuelnaga

Khoshzaban

Badr

et al. 2019

Case Reports in Urology

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Background. Candida as a cause for urinary tract infection in healthy individuals is unusual. The extension of fungi into the urinary collecting system rarely leads to formation of bezoars or fungus balls. This can in turn lead to hydronephrosis, obstructive uropathy and sepsis. Case Presentation. An eighty years old gentleman presented to A&E with confusion, severe urosepsis and acute kidney injury. CTKUB demonstrated significant right sided hydronephrosis, perinephric fat stranding and gas in collecting system. A year prior to this admission he has become known to the urology team for a fungal ball that was noted in the upper pole of the right kidney which was picked up following elective flexible ureterorenoscopy for right kidney stones. Flexible ureterorenoscopy and successful retrieval of fungal ball by basket was performed. Conclusion. We advocate this technique to be considered as an alternative to the current treatment offered to patients with fungal ball infections and especially so in cases were a nephrostomy is either contraindicated, unavailable, or not possible.

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Percutaneous Identification and Removal of Fungus Ball from Renal Pelvis

Abstract: Fungus balls in the upper urinary tract are uncommon infectious processes that usually occur in diabetic patients. We report a case of an obstructing fungus ball of the renal pelvis, which was identified and removed successfully by percutaneous techniques.

Cited by 17 publications

References 3 publications

Acute renal failure caused by fungus balls in renal pelvises

Acute renal failure caused by fungus balls in renal pelvises

The longest use of liposomal amphotericin B and 5-fluorocytosine in neonatal renal candidiasis

Successful Endoscopic Management of a Renal Fungal Ball using Flexible Ureterorenoscopy

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