Irene Davis's Kidney Stone Surgery Complication
Irene's CT-confirmed ureteral stone leads to lithotripsy, ureter injury, open surgery, and kidney autotransplantation.
In Plain English
Irene's stone procedure goes wrong when the ureter is injured, so the team has to move and reconnect the kidney.
What Happened in the Episode
Catherine pulls out the scope and realizes the ureter came with it, forcing open surgical repair.
Clinical Concept
Ureteral stone treatment complicated by ureter injury
What ER Teams Would Evaluate
Supported by the episode: history, CT confirmation, lithotripsy plan, operative complication, open conversion, and post-op urine output. Real care would also cover consent, renal function, infection risk, anatomy review, complication disclosure, and follow-up imaging.
Treatment and Management Overview
The episode-supported management includes lithotripsy, exploratory laparotomy, attempted repair, kidney autotransplantation, and post-op monitoring.
What TV Gets Right
The episode shows that procedure complications require rapid escalation and repair planning.
What TV Compresses
It compresses consent, complication disclosure, reconstructive decision-making, and long-term renal follow-up.
Sources and Further Reading
- iDRief catalog page
- Grey's Anatomy Universe Wiki - Breathe
- Breathe transcript
- Grey's Anatomy Universe Wiki - BreatheEPISODE
Supports: Documents Irene's MS, kidney stone, lithotripsy complication, open surgery, kidney autotransplantation, and stable urine production.
- Breathe transcriptEPISODE
Supports: Supports scene context for Irene's procedure and complication.
- MedlinePlus - Kidney StonesTIER 1
Supports: Supports general kidney stone context.
- NINDS - Multiple SclerosisTIER 1
Supports: Supports general multiple sclerosis context.
- iDRief catalog pageEPISODE
Supports: Supports episode-level context for this curated case.