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Subcapsular double-J stent following ureteroscopy: unique complication.

Ahmed Aljuhayman1, Faisal Balaraj1, Yahya Ghazwani1

  • 1Department of Urology, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

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A double-J (DJ) ureteral stent, commonly used for ureteral obstruction, can rarely lead to a unique and organ-threatening complication: complete renal subcapsular misplacement. This case highlights a rare risk associated with this standard urological procedure.

Keywords:
double-J ureteral stentendourological complicationsretrograde pyelography

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Area of Science:

  • Urology
  • Endourology
  • Nephrology

Background:

  • Double-J (DJ) ureteral stents are frequently employed in urological practice to alleviate ureteral obstruction.
  • Their use is integral to various endourological procedures, making them a common intervention.

Observation:

  • A patient undergoing ureteroscopy for a distal ureteric stone experienced an unusual complication.
  • The double-J (DJ) ureteral stent was found to be completely misplaced within the renal subcapsular space.

Findings:

  • This case represents a rare instance of DJ stent malpositioning.
  • The renal subcapsular misplacement is a unique and potentially organ-threatening complication.

Implications:

  • This report underscores the importance of vigilance for rare complications associated with common urological procedures.
  • Awareness of such malpositions is crucial for timely diagnosis and management to prevent severe outcomes.
  • Further investigation into preventative measures or improved stent placement techniques may be warranted.