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Chitale, Sudhanshu; Ho, Edwin

doi:10.1023/a:1023274514526

Cited by 9 publications

(3 citation statements)

References 3 publications

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“…The authors caution about checking that the guide wire has been correctly preloaded in the spool before its placement up the ureter as inserting the wrong (nonfloppy) end may have serious implications. [14] Ureteral erosion or fistulization has also been documented with long-standing ureteral stent. Erosion into an arterial system is a potentially dangerous complication and a high degree of clinical suspicion is necessary if mortality is to be avoided.…”

Section: Discussionmentioning

confidence: 99%

Extra-anatomical complications of antegrade double-J insertion

et al. 2011

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Introduction:Insertion of a double-J (JJ) stent is a common procedure often carried out in the retrograde route by the urologists and the antegrade route by the radiologists. Reported complications include stent migration, encrustation, and fracture. Extra-anatomic placement of an antegrade JJ stent is a rare but infrequently recognized complication.Materials and Methods:We performed a retrospective audit of 165 antegrade JJ stent insertions performed over three consecutive years by a single interventional radiologist. All renal units were hydronephrotic at the time of nephrostomy. All procedures were performed under local anaesthetic with antibiotic prophylaxis.Results:Antegrade stent insertion was carried out simultaneously at the time of nephrostomy in 55 of the 165 cases (33%). The remainder were inserted at a mean of 2 weeks following decompression. In five (3%) patients, who had delayed antegrade stenting following nephrostomy, the procedure was complicated by silent ureteric perforation and an extra-anatomic placement of the stent. These complications had delayed manifestations, which included two retroperitoneal abscesses, a pelvic urinoma, a case each of ureterorectal fistula, and ureterovaginal fistula. Risk factors for ureteric perforation include previous pelvic malignancy, pelvic surgery, pelvic radiation, and a history of ureteric manipulation.Conclusion:Antegrade ureteric JJ stenting is a procedure not without complications. Extra-anatomic placement of the antegrade stent is a hitherto the infrequently reported complication but needs a high index of suspicion to be diagnosed. Risk factors for ureteric perforation at the time of stent insertion have to be considered to prevent this potential complication.

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Section: Discussionmentioning

confidence: 99%

Extra-anatomical complications of antegrade double-J insertion

et al. 2011

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“…[9][10][11] Fluoroscopy is not a standard radiological imaging method in the urology operation room, but fluoroscopic examination could be used to manipulate the stent position to detect complications such as renal or ureteral perforations. Closed tip stent insertion could be a risk factor for these complications, and the Seldinger method appears to be safer.…”

Section: Discussionmentioning

confidence: 99%

An unusual complication of a double-J ureteral stent: Renal parenchymal perforation in a solitary kidney

Gonulalan

Akand

Hasırcı

et al. 2014

Turkish Journal of Urology

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“…Apart from these adverse effects, intravascular migration of double-J (D-J) catheter, ureteroarterial fistula, hemoperitoneum, and knotted stent have been reported in the literature as very rarely seen complications. [2][3][4][5] Perforation of the renal parenchyma associated with perirenal hematoma after ureteral DJ stenting has been reported firstly by Dündar et al [6] in 2008. We have encountered a total of only 3 cases cited in the literature.…”

Section: Introductionmentioning

confidence: 96%

A rare complication of ureteral double-J stenting after flexible ureteroscopy: renal parenchymal perforation

Altay

Erkurt

Kiremit

et al. 2015

Turkish Journal of Urology

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Double-j (DJ) ureteral stenting is a very common procedure performed after various endourological procedures. Although several complications due to DJ stent insertion were revealed, only three cases of renal parenchymal perforation have been reported to date. We present a case of a 35-year-old woman who had perforation of renal parenchyma without perirenal hematoma following insertion of DJ ureteral stent after flexible ureteroscopy for the treatment of an upper ureteral calculi. Non-contrast computed tomography was used for diagnosis. Patient was successfully managed with repositioning of the stent under fluoroscopic guidance on postoperative second day postoperatively.

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Untitled

Cited by 9 publications

References 3 publications

Extra-anatomical complications of antegrade double-J insertion

Extra-anatomical complications of antegrade double-J insertion

An unusual complication of a double-J ureteral stent: Renal parenchymal perforation in a solitary kidney

A rare complication of ureteral double-J stenting after flexible ureteroscopy: renal parenchymal perforation

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