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Published on: June 16, 2022
A Forgotten Ureteral Stent: Potential Risks for the Urinary Function
Florian A Distler1, Roland Veelken2, Annette Wagner1
1Department of Urology, Nuremberg General Hospital, Paracelsus Medical University, Nuremberg, Germany.
Insights
A forgotten ureteral stent (DJ) caused severe bladder and kidney stones in a patient. Surgical removal of the non-functioning kidney moiety and bladder stone was necessary.
Area of Science:
- Urology
- Nephrology
Background:
- A patient with a left double kidney and ureter duplex underwent endoscopic stone removal.
- A ureteral stent (DJ) was placed but not removed post-procedure.
Observation:
- The retained DJ stent led to significant complications including bladder stone formation and encrustation.
- A staghorn calculus developed in the upper moiety of the duplex kidney.
- Renal scintigraphy revealed non-significant function of the upper moiety.
Findings:
- The retained ureteral stent was the primary cause of the severe calculus formation.
- The upper moiety of the duplex kidney was functionally compromised.
Implications:
- This case highlights the critical importance of stent removal after urological procedures.
- Retained foreign bodies can lead to severe complications, necessitating complex surgical interventions.
- Careful patient communication and follow-up are essential to prevent such adverse events.
Abstract:
A 32-year-old man presented with painless macrohaematuria. An endoscopic stone removal of the upper moiety of a left double kidney with ureter duplex was performed 4 years ago. The inserted ureteral catheter (DJ) was not removed although it was communicated to the patient and written in the discharge report. The DJ led to a large bladder stone, a total incrustation of the DJ, and a staghorn calculus of the upper moiety. Furthermore, renal function scintigraphy showed no clinically significant function of the upper moiety. Therefore, a heminephrectomy was performed with corresponding ureterectomy and sectio alta for bladder stone removal.
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