Double-J stents forgotten for four years: a case report

Authors

  • Johannes Cansius Prihadi Department of Surgery, Faculty of Medicine, Universitas Katolik Indonesia Atma Jaya, Jakarta, Indonesia
  • Christopher Kusumajaya Department of Surgery, Faculty of Medicine, Universitas Katolik Indonesia Atma Jaya, Jakarta, Indonesia https://orcid.org/0000-0001-8111-7558

DOI:

https://doi.org/10.13181/mji.v28i3.3132

Keywords:

neglected stent, ureteral catheters, ureterorenoscopy
Abstract viewed: 725 times
PDF downloaded: 662 times
HTML downloaded: 553 times
EPUB downloaded: 277 times

Abstract

Placement of double-J ureteral stents after endourologic procedures and some open urological surgeries are practical and safe. However, when neglected in situ, undesired problems may occur, leading to serious medical and legal issues. Complications from ureteral stents with protracted indwelling durations include urosepsis, renal failure, encrustation, and spontaneous fractures which may be retained or voided in the urine (stenturia). We report a 40-year-old woman of forgotten double-J ureteral stents, inserted 4 years prior to this study during a gynecologic operation. The patient had pulled out the double-J stents from her urethra herself and presented with impending sepsis. Then, she underwent ureterorenoscopic lithotripsy, but it failed to remove the remaining encrusted double-J stent. As a result, percutaneous nephrolithotomy was performed successfully and she had symptom-free thereafter.

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References

Kilciler M, Erdemir F, Bedir S, Coban H, Erten K, Guven O, et al. Spontaneous ureteral stent fragmentation: a case report and review of the literature. Kaohsiung J Med Sci. 2006;22(7):363-6. https://doi.org/10.1016/S1607-551X(09)70324-9

Jhanwar A, Bansal A, Prakash G, Sankhwar S. Endourological management of forgotten double J ureteral stents: a single centre study. JOJ Uro & Nephron. 2017;1(4):555566. https://doi.org/10.19080/JOJUN.2015.01.555566

Bas O, Sener NC, Ozgun S, Dede O, Basar H. Stone formation and fragmentation in forgotten ureteral double J stent. J Clin Anal Med. 2014;5(suppl 1):26-8. https://doi.org/10.4328/JCAM.2684

Sancaktutar AA, Kilciler M, Tahmaz L, Dayanc M. Management of forgotten ureteral double J stents: report of two cases and review of the literature. J Clin Exp Invest. 2012;3(2):263-6. https://doi.org/10.5799/ahinjs.01.2012.02.0156

Wani B, Upadhey R, Rathod V, Bhole A. Forgotten long-term indwelling double "J" stent. Saudi J Kidney Dis Transpl. 2012;23(5):1043-5. https://doi.org/10.4103/1319-2442.100946

Murtaza B, Niaz WA, Akmal M, Ahmad H, Mahmood A. A rare complication of forgotten ureteral stent. J Coll Physicians Surg Pak. 2011;21(3):190-2. https://doi.org/03.2011/JCPSP.190192

Kusuma VR. Forgotten Double J stent in the urinary bladder with calculus formation. Int J Case Rep Imag. 2012;3(4):45-7. https://doi.org/10.5348/ijcri-2012-04-115-CI-12

Kumar M, Aron M, Agarwal AK, Gupta NP. Stenturia: an usual manifestation of spontaneous ureteral stent fragmentation. Urol Int. 1999;62(2):114-6. https://doi.org/10.1159/000030370

Ray RP, Mahapatra RS, Mondal PP, Pal DK. Long-term complications of JJ stent and its management: a 5 years review. Urol Ann. 2015;7(1):41-5. https://doi.org/10.4103/0974-7796.148599

Sohrab A, Aneesh S, Sureka SK, Varun M1 Nitesh P, Manoj K, et al. Forgotten reminders: an experience with managing 28 forgotten double J stents and management of related complications. Indian J Surg. 2015;77(Suppl3):1165-71. https://doi.org/10.1007/s12262-015-1229-4

Kelkar V, Patil D. Management of forgotten double J stent and severe multiple large encrusted stones in the bladder and renal pelvis. Central European J Urol. 2012;65(4):238-41. https://doi.org/10.5173/ceju.2012.04.art15

Published

2019-10-04

How to Cite

1.
Prihadi JC, Kusumajaya C. Double-J stents forgotten for four years: a case report. Med J Indones [Internet]. 2019Oct.4 [cited 2024Dec.23];28(3):280-3. Available from: https://mji.ui.ac.id/journal/index.php/mji/article/view/3132

Issue

Section

Case Report/Series
Abstract viewed = 725 times
PDF downloaded = 662 times HTML downloaded = 553 times EPUB downloaded = 277 times