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SPONTANEOUS RUPTURE OF DOUBLE J URETERAL STENT
Author(s) -
Abdi El Mostapha,
Y. Ghannam,
Hissein Hagguir,
Nedjim Abdelkerim Saleh,
Mohamed Dakir,
Adil Debbagh,
Rachid Aboutaieb
Publication year - 2020
Publication title -
journal of surgical sciences
Language(s) - English
Resource type - Journals
eISSN - 2457-5364
pISSN - 2360-3038
DOI - 10.33695/jss.v7i3.396
Subject(s) - medicine , percutaneous nephrostomy , stent , surgery , hydronephrosis , complication , nephrostomy , stenosis , radiology , ureter , percutaneous , urinary system , anatomy
The double J stent is widely used in urological endoscopic surgery with different indications (ureteral stenosis, ureteropelvic junction obstruction, retroperitoneal tumor or fibrosis) and can be a subject to multiple complications including migration, encrustation, stone formation and fragmentation which is a rare complication. We are reporting a rare case of a 42-years-old, followed for cervical cancer since 2018 revealed by an acute obstructive renal failure drained by a left double J ureteral stent (of long duration) and right percutaneous nephrostomy. The patient maintained the double J stent for 2 years. On clinical examination there was a lumbar tenderness on the left side and a hardened vaginal cervix on bimanual vaginal examination. The patient underwent a renovesical ultrasound showing a minimal left ureterohydronephrosis. The uroscanner with reconstruction revealed a fragmented double J stent on the left side.

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