Abstract
Double-J ureteral stent insertion is a common urological procedure performed for the relief of ureteral obstruction or as a part of other endourological procedures. Several complications have been reported in the past. A case of a 62-year-old woman who was stented due to hydronephrosis of her solitary functioning left kidney and had renal perforation and retroperitoneal hematoma formation is presented. She was managed conservatively with blood transfusion and double-J stent repositioning in the collecting system the fifth postoperative day. Follow-up noncontrast computed tomography (CT) of the abdomen was performed the first and third months after stent placement which showed stabilization of the hematoma.
Highlights
Ureteral stent insertion is a commonly used procedure in daily urology practice having been first described by Zimskind, for the treatment of ureteral obstruction and fistula [1]
This is the first paper of renal parenchyma perforation and hematoma formation after an open end double-J stent insertion for the relief of ureteral obstruction in a solitary functioning kidney
We present a unique case of ureteral stent malposition with renal parenchyma perforation and hematoma formation in a solitary functioning kidney with hydronephrosis due to ureteral lithiasis
Summary
Renal Parenchyma Perforation and Hematoma Formation following Double-J Stent Insertion in a Solitary Functioning Kidney: An Unusual Complication. Double-J ureteral stent insertion is a common urological procedure performed for the relief of ureteral obstruction or as a part of other endourological procedures. A case of a 62-year-old woman who was stented due to hydronephrosis of her solitary functioning left kidney and had renal perforation and retroperitoneal hematoma formation is presented. She was managed conservatively with blood transfusion and double-J stent repositioning in the collecting system the fifth postoperative day. Follow-up noncontrast computed tomography (CT) of the abdomen was performed the first and third months after stent placement which showed stabilization of the hematoma
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