{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:07:23Z","timestamp":1786118843804,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,3,15]],"date-time":"2025-03-15T00:00:00Z","timestamp":1741996800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and Importance:<\/jats:title>\n                    <jats:p>Managing incarcerated ureteral calculi is crucial to prevent obstructive uropathy, renal dysfunction, and urosepsis. Double ureteral malformations with complex calculi pose challenges due to anatomical variations, requiring a multidisciplinary approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 35-year-old female with flank pain and hydronephrosis was diagnosed with double renal pelvis malformations and impacted ureteral calculi. A staged approach was used: laparoscopy corrected ureteral malformations, followed by flexible ureteroscopy and percutaneous nephroscopic holmium laser lithotripsy. Complete calculus clearance was confirmed intraoperatively and postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Double ureteral malformations complicate endoscopic navigation, requiring combined laparoscopic correction and lithotripsy. Challenges included limited space and risk of iatrogenic injury. Holmium laser (0.8-1.2 J) enabled precise fragmentation while preserving mucosa. Preoperative 3D CT urography was vital for surgical planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>At 6-month follow-up, the patient had patent ureteral drainage, no calculus recurrence, and stable renal function. Integrated laparoscopy-endoscopy strategies achieved a 100 % calculus-free rate with minimal complications, emphasizing the importance of image-guided, patient-specific management in complex urolithiasis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111167","type":"journal-article","created":{"date-parts":[[2025,3,21]],"date-time":"2025-03-21T20:19:56Z","timestamp":1742588396000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comprehensive surgical strategy for incarcerated ureteral calculi in the context of double renal pelvis malformations: A case report"],"prefix":"10.1097","volume":"129","author":[{"given":"Deyu","family":"Zeng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiong","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-65-20260423","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1007\/BF01627766","article-title":"Double ureter and congenital diverticulum of the ureter","volume":"13","author":"Cussenot,","year":"1991","journal-title":"Surg. 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Urol."},{"key":"R6-65-20260423","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1186\/s12894-018-0410-z","article-title":"Minimally invasive surgical treatment on delayed uretero-vaginal fistula","volume":"18","author":"Li,","year":"2018","journal-title":"BMC Urol."},{"key":"R7-65-20260423","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"Agha, The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines,","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg. (London, England)"},{"key":"R8-65-20260423","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1089\/end.2021.0761","article-title":"Endoscopic combined intrarenal surgery vs percutaneous nephrolithotomy for large and complex renal stone: a systematic review and meta-analysis","volume":"36","author":"Widyokirono,","year":"2022","journal-title":"J. Endourol."},{"key":"R9-65-20260423","doi-asserted-by":"crossref","first-page":"S46","DOI":"10.5152\/tud.2020.20282","article-title":"Endoscopic combined intrarenal surgery (ECIRS) - tips and tricks to improve outcomes: a systematic review","volume":"46","author":"Cracco,","year":"2020","journal-title":"Turk. J. Urol."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225003530?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225003530?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ovid.com\/10.1016\/j.ijscr.2025.111167","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T16:53:45Z","timestamp":1786035225000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1016\/j.ijscr.2025.111167"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":9,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2025.111167","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2025-01-29","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-15","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}