When u think 2 have already seen everything in #endourology & During #miniperc U c a strange tubular structure similar 2 a tight ureter:it is not! It is a vein incannulated with MIP-M Scope. Look injected dye highlighting renal vein!😳 anyway procedure went well,no bleeding #ETCE

In a Miniperc 1 month ago, I saw the same tubule in a 2nd punction in an accesory traject. The contrast draw that in the screen and the sphincter relax inmediatly (mine). The same result. Nothing happens after retire it 😅. Everything finished ok 👍.

Thank you for sharing! Would you please share us how to know if I enter the scope to the renal vein? And how to deal with this situation?

Same occurs with now...I was also confused but I didn't injec contrast....

Anything different you would do if it was a standard pcnl? Thank you sir

@RobertVasquezu As mini as it gets alright.

Sir, When would you advice to abandon and come out with or without a nephrostomy?

What was the colour of returning fluid after puncture ? Did you use single step dilation ?

Oh my god

I would be worried about pulmonary embolism! Did you put the patient on anticoagulants after the procedure?

Actually this is a tributary of the main vein , the other is larger than this 👍