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

  • 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
Keywords: neglected stent, ureteral catheters, ureterorenoscopy
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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.

References

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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 2019Oct.21];28(3):280-3. Available from: https://mji.ui.ac.id/journal/index.php/mji/article/view/3132
Section
Case Report