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Guide wire knot during double J catheter insertion: case report.

Eduardo Useros Rodríguez¹, Ignacio Tomás Castillón Vela, María Eugenia León Rueda

¹Urology Department, Hospital Clínico San Carlos, Madrid, Spain. eduseros@yahoo.es

Archivos Espanoles De Urologia

|March 15, 2011

Summary

A rare complication occurred during double J catheter insertion: an intrapyelic guide wire loop. This guide wire loop was successfully resolved without invasive intervention.

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Area of Science:

Urology
Medical Device Complications

Background:

Double J catheter insertion is a common procedure for urinary diversion.
Obstructive uropathy secondary to pelvic tumors necessitates urinary diversion.
Guide wires are essential tools in endourological procedures.

Observation:

A 24-year-old female with pelvic tumor-induced obstructive uropathy underwent double J catheter insertion.
During the procedure, the guide wire formed an intrapyelic loop within the renal pelvis.
The loop was successfully managed and resolved without requiring aggressive measures.

Findings:

Intrapyelic guide wire loop formation is a rare but potential complication during double J catheter insertion.
This complication can occur even in the presence of pelvic tumors causing obstructive uropathy.
Non-aggressive management strategies may be sufficient for resolution.

Implications:

Awareness of this rare complication is crucial for urologists performing double J catheter insertions.
Endourological procedures involving guide wires carry inherent risks.
Further research into preventative and management strategies for guide wire complications is warranted.