A rare presentation of renocolic fistula due to misplaced ureteral stent - presentation, management and literature review

Vijayaraghavan, Krishna Mohan Boopathy; Rajendran, Rohan; Thomas, Appu

doi:10.1016/j.eucr.2020.101305

Cited by 3 publications

(5 citation statements)

References 5 publications

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“…However, the technical details of our patient procedure were not accessible, and another urologist from a nearby hospital performed this procedure. Recently reported cases and their management of DJ stent displaced into the peritoneal cavity were summarized in Table 1 [ 3 , 4 , 7 , 12 - 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…DJ stents are a routine and straightforward process in urological practice and may perform via antegrade or retrograde approach [ 1 , 2 ]. Infection, stent irritation, stent migration, encrustation, and a forgotten stent are all risks associated with this procedure [ 3 ]. While, upward DJ stent migration, bladder perforation, jejunal injury, and peritonitis due to the peritoneal cavity's perforation are rare complications [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Infection, stent irritation, stent migration, encrustation, and a forgotten stent are all risks associated with this procedure [ 3 ]. While, upward DJ stent migration, bladder perforation, jejunal injury, and peritonitis due to the peritoneal cavity's perforation are rare complications [ 3 , 4 ]. Synchronous jejunal perforation and upward migration as complications of double J stents removal have not been reported to our knowledge.…”

Section: Introductionmentioning

confidence: 99%

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Jejunal perforation and upward migration of double j stents during the cystoscopic procedure: a case report and review of literature

Ahmed¹,

Alyhari²,

Ghabisha³

et al. 2022

Pan Afr Med J

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While double J (DJ) stenting is common worldwide in the urological procedure, it may associate with severe and catastrophic complications. Penetration of the jejunum and upward migration of double J (DJ) stents during cystoscopic DJ stent procedure are rare complications with few reported cases in the literature. We present a 65-year-old male presented with acute renal failure and peritonitis one week after failed cystoscopic removal of DJ stents. Radiographic investigations showed upward migration of the right DJ stent and a total displacement of the left DJ stent to the peritoneal cavity with peritonitis, bladder perforation, and jejunal injuries. The right DJ stent was removed via the ureteroscopic procedure. Then, open abdominal surgery was performed to remove the left DJ stent and repair the injured bladder wall and jejunal segment. In conclusion, synchronous upward DJ stent migration and peritoneal DJ stent malposition with jejunal and bladder injuries are rare and severe complications of the cystoscopic DJ stent procedure. The treatment should be performed depending on the time of diagnosis, nature of the injury, and general clinical conditions of the patient.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Jejunal perforation and upward migration of double j stents during the cystoscopic procedure: a case report and review of literature

Ahmed¹,

Alyhari²,

Ghabisha³

et al. 2022

Pan Afr Med J

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“…Peritonitis due to perforation of the abdominal cavity is a rare complication. 4,5 We report a rare case of perforation of the ureter during DJ stenting in the PCNL procedure, with the subsequent location of the distal coil of the DJ stent within the peritoneal cavity, which was successfully managed by reinserting the DJ stent to the bladder by the ureteroscopic procedure.…”

Section: Introductionmentioning

confidence: 99%

Peritoneal perforation and peritonitis after antegrade double‐J stent insertion: A case report and review of the literature

Haghpanah

Ahmed

Hosseini

et al. 2022

Clinical Case Reports

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“…pain secondary to vesicoureteral reflux [2]. Serious complications such as renal-colic fistula or vascular migration have been reported [3,4]. Another serious complication is parenchymal perforation, which has been reported sporadically.…”

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confidence: 99%

From Routine to Exceptional: Exploration of a Unique Case of Bilateral Renal Parenchymal Perforation and Unilateral Hematoma Formation after Double J Ureteral Stent Insertion

Saleh Abdelkerim,

Hissein,

Youssef

et al. 2024

Int Arch Urol Complic

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Double J stent is a routine procedure in urology. Today, it is used for a wide range of indications. Their use is not without consequences. Complications may be frequent or rare, minor or serious. Perforation of the renal parenchyma, with or without the formation of a hematoma, is a serious complication that is considered very rare. In this report, we report the case of a 70-year-old patient who underwent bilateral double-J ureteral stent for obstructive renal failure due to prostate cancer. He presented to our center 20 days later with low back pain, diuresis failure and renal insufficiency on the laboratory work-up. Further work-up, mainly imaging (ultrasound and CT scan), revealed a lateral perforation of the renal parenchyma, complicated on the left by the formation of a hematoma. Management consisted in changing the double J probes. The outcome was favorable, with improvement in clinical signs and biological parameters. This routine procedure can be unexpectedly complicated by exceptional situations. On the basis of this case and existing literature, the various aspects will be analyzed and discussed.

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A rare presentation of renocolic fistula due to misplaced ureteral stent - presentation, management and literature review

Cited by 3 publications

References 5 publications

Jejunal perforation and upward migration of double j stents during the cystoscopic procedure: a case report and review of literature

Jejunal perforation and upward migration of double j stents during the cystoscopic procedure: a case report and review of literature

Peritoneal perforation and peritonitis after antegrade double‐J stent insertion: A case report and review of the literature

From Routine to Exceptional: Exploration of a Unique Case of Bilateral Renal Parenchymal Perforation and Unilateral Hematoma Formation after Double J Ureteral Stent Insertion

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