Iatrogenic Obturator Hernia with Ureter as Content: Case Report
Alamelu Alagappan1, Sambit Tripathy2, Biswajit Sahoo2
1Department of Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, India
Acta Medica Lituanica
|July 11, 2025
Summary
A rare case of DJ stent migration into the obturator foramen following kidney stone treatment is presented. This complication highlights the importance of careful monitoring after ureteral stent placement.
Area of Science:
- Urology
- Medical Imaging
- Nephrology
Background:
- A 70-year-old male presented with chronic flank pain, hematuria, and urinary symptoms.
- The patient had a history of deep vein thrombosis and was on anticoagulation therapy.
Purpose of the Study:
- To report a rare case of ureteral stent migration causing obturator hernia.
- To review the literature on obturator hernia with ureteral content.
Main Methods:
- Ultrasound and Computed Tomography (CT) urography were used for diagnosis.
- Laser lithotripsy and DJ stent placement were performed for kidney stones.
- Follow-up CT urography identified stent displacement and herniation.
Main Results:
- Multiple bilateral kidney calculi were identified.
- A DJ stent migrated to the right distal ureter and herniated through the obturator foramen.
- The ureteral stent was surgically removed, and the patient is under follow-up for obturator hernia.
Conclusions:
- Obturator hernia containing a ureteral stent is a rare but serious complication.
- This case underscores the need for vigilance in monitoring post-procedural stent placement.
- Prompt diagnosis and management are crucial for favorable outcomes in such cases.
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