A double-J stent misguided by zebra guidewire into ileum: A case report and literature review

Liu, Liangcheng; Cao, Guihua; Huang, Guimin; Du, Jinyan; Li, Wei; Li, Qiang

doi:10.1016/j.eucr.2022.102128

Cited by 1 publication

(1 citation statement)

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“…Before the migrated DPS removal, it is paramount to correctly place a parallel guidewire to secure the urinary tract in case of any complication. The choice of guidewire can be critical, as Liu et al (13) reported a case of a fatal uretero-ileal fistula due to the use of a stiff guidewire that perforated the ureter and ileum walls during DPS replacement in a patient with a cutaneous ureterostomy. This case highlights the importance of choosing a hydrophilic guidewire during endourological procedures to avoid any lesion to the ureter.…”

Section: Discussion/conclusionmentioning

confidence: 99%

Multidisciplinary approach for ureteral stent intravascular migration: a case report

et al. 2022

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Clinical case description: We report the case of a patient who underwent a double-pigtail ureteral stent (DPS) retrograde placement, following a complicated right renal colic. After two days with persisting pain and hematuria, a CT-Scan revealed a proximal pigtail misplacement into the inferior vena cava (IVC). In a multidisciplinary approach, an endourological removal was performed, pulling the distal loop with a cystoscope, while the vascular surgery team performed femoral access and phlebography during and after the DPS removal to prevent bleeding from IVC. Abdominal access for laparotomy was ready, anticipating potential bleeding. Relevance: DPS retrograde placement is a very frequent, usually uneventful procedure, but major complications may occur, such as the one described in the present case. It is important to know the risk of intravascular misplacement of the DPS, especially in cases of bad evolution or hematuria. Conclusion: DPS intravascular migration is a rare but potentially severe complication. An early detection and a multidisciplinary collaboration between the urology and vascular surgery teams is paramount to perform a minimally invasive removal and prevent major events.

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Section: Discussion/conclusionmentioning

confidence: 99%