Forgotten Double J Stent with Maximum Stone Burden
Abstract
Double J stent or DJ stent, is a self-retaining ureteral stent mainly used to provide effective drainage of kidney into urinary baldder. However, because of widespread use, lack of patient education or due to lack of adherence to regular follow up, patients may end up with a forgotten DJ stent which can stay undiagnosed in the pelvi-ureteral system for years and cause a lot of complications before coming to attention. We present a unique case of repetitively neglected (forgotten) DJ stent in a 28-year-old male, who had the stent placed 11 years back as a part of Percutaneous Nephrolithotomy (PCNL) and now presented with encrusted DJ stent with large bladder calculus and calculus deposits along entire length of the stent. To our knowledge, this study reports the forgotten stent with the maximum stone burden available in literature.
[1] H.A. Aboutaleb, T.A. Ali, M. Gawish, M.K. Omar Fluoroscopy- free double-J stent placement through ureteroscope working channel postuncomplicated ureteroscopic laser lithotripsy: a novel technique Urol Ann, 11 (1) (2019), pp. 39-45. https://doi. org/10.4103/UA.UA_59_18
[2] ManoharC.s.vol.30.2016.p.A106. (Suspected Torsion Score in Patients Presenting with Acute scrotum.J Endourol).
[3] R. Damiano, A. Oliva, C. Esposito, M.De Sio, R. Autorino, M. D’Armiento Early and late complications of double pigtail ureteral stent Urol Int, 69 (2) (2002), pp. 136- 140. https://doi.org/10.1159/000065563
[4] Abdelaziz A.Y., Fouda W.B., Mosharafa A.A., Abelrasoul M.A., Fayyad A., Fawzi K. Forgotten ureteral stents: risk factors, complications and management. African J Urol [Internet] 2018;24(1):28–33. https://doi.org/10.1016/j. afju.2017.09.005
[5] El-Faqih SR, Shamsuddin AB, Chakrabarti A, Atassi R, Kardar AH, Osman MK et al (1991) Polyurethane internal ureteral stents in treatment of stone patients: morbidity related to indwelling times. J Urol 146:1487–1491. https://doi.org/10.1016/S0022- 5347(17)38146-6
[6] Borboroglu PG, Kane CJ (2000) Current management of severely encrusted ureteral stents with a large associated stone burden. J Urol 164:648–650. https://doi.org/10.18203/2349- 2902.isj20180447
[7] Agarwal S, Sarpal R, Pathak P, Biswas M, Mittal A, Rathore K, et al. Tricks and tacks in the management of the forgotten double J stent. Int Surg J. 2018;26(5):792. https://doi. org/10.18203/2349-2902.isj20180447
[8] Monga M, Klein E, Castañeda-Zúñiga WR, Thomas R. The forgotten indwelling ureteral stent: A urological dilemma. J Urol. 1995;153:1817. https://doi.org/10.1016/S0022- 5347(01)67319-1
[9] Sohrab A, Aneesh S, Sureka SK, Varun M, Nitesh P, Manoj K, et al. Forgotten reminders: An experience with managing 28 forgotten double-j stents and management of related complications. Indian J Surg. 2015;77:1165–71. https://doi. org/10.1007/s12262-015-1229-4
[10] Bouzidi H, Traxer O, Doré B, Amiel J, Hadjadj H, Conort P, et al. Characteristics of encrustation of ureteric stents in patients with urinary stones. Prog Urol. 2008;18(4):230-7. https://doi. org/10.1016/j.purol.2008.02.004
[11] Mardis HK, Kroeger RM, Morton JJ, Donovan JM. Comparative evaluation of materials used for internal ureteral stents. J Endourol. 1993;7:105–15. https://doi.org/10.1089/ end.1993.7.105
[12] Hao P, Li W, Song C, Yan J, Song B, Li L. Clinical evaluation of double-pigtail stent in patients with upper urinary tract diseases: Report of 2685 cases. J Endourol. 2008;22:65–70. https://doi.org/10.1089/end.2007.0114
[13] Milicevic S, Bijelic R, Jakovljevic B. Encrustation of the ureteral double J stent in patients with a solitary functional kidney – A case report. Med Arch. 2015;69:265–8. https://doi. org/10.5455/medarh.2015.69.265-268
[14] Singh I, Gupta NP, Hemal AK, Aron M, Seth A, Dogra PN. Severely encrusted polyurethane ureteral stents: Management and analysis of potential risk factors. Urology. 2001;58:526–31. https://doi.org/10.1016/S0090-4295(01)01317-6
[15] Weedin JW, Coburn M, Link RE. The impact of proximal stone burden on the management of encrusted and retained ureteral stents. J Urol. 2011;185:542–7. https://doi.org/10.1016/j. juro.2010.09.085
[16] Sabharwal S, Macaden AR, Abrol N, Mukha RP, Kekre NS. A novel computer based stent registry to prevent retained stents: Will patient directed automated short message service and letter generator help? Indian J Urol. 2014;30:150–2. https:// doi.org/10.4103/0970-1591.126892
[2] ManoharC.s.vol.30.2016.p.A106. (Suspected Torsion Score in Patients Presenting with Acute scrotum.J Endourol).
[3] R. Damiano, A. Oliva, C. Esposito, M.De Sio, R. Autorino, M. D’Armiento Early and late complications of double pigtail ureteral stent Urol Int, 69 (2) (2002), pp. 136- 140. https://doi.org/10.1159/000065563
[4] Abdelaziz A.Y., Fouda W.B., Mosharafa A.A., Abelrasoul M.A., Fayyad A., Fawzi K. Forgotten ureteral stents: risk factors, complications and management. African J Urol [Internet] 2018;24(1):28–33. https://doi.org/10.1016/j. afju.2017.09.005
[5] El-Faqih SR, Shamsuddin AB, Chakrabarti A, Atassi R, Kardar AH, Osman MK et al (1991) Polyurethane internal ureteral stents in treatment of stone patients: morbidity related to indwelling times. J Urol 146:1487–1491. https://doi.org/10.1016/S0022- 5347(17)38146-6
[6] Borboroglu PG, Kane CJ (2000) Current management of severely encrusted ureteral stents with a large associated stone burden. J Urol 164:648–650. https://doi.org/10.18203/2349- 2902.isj20180447
[7] Agarwal S, Sarpal R, Pathak P, Biswas M, Mittal A, Rathore K, et al. Tricks and tacks in the management of the forgotten double J stent. Int Surg J. 2018;26(5):792. https://doi. org/10.18203/2349-2902.isj20180447
[8] Monga M, Klein E, Castañeda-Zúñiga WR, Thomas R. The forgotten indwelling ureteral stent: A urological dilemma. J Urol. 1995;153:1817. https://doi.org/10.1016/S0022- 5347(01)67319-1
[9] Sohrab A, Aneesh S, Sureka SK, Varun M, Nitesh P, Manoj K, et al. Forgotten reminders: An experience with managing 28 forgotten double-j stents and management of related complications. Indian J Surg. 2015;77:1165–71. https://doi. org/10.1007/s12262-015-1229-4
[10] Bouzidi H, Traxer O, Doré B, Amiel J, Hadjadj H, Conort P, et al. Characteristics of encrustation of ureteric stents in patients with urinary stones. Prog Urol. 2008;18(4):230-7. https://doi. org/10.1016/j.purol.2008.02.004
[11] Mardis HK, Kroeger RM, Morton JJ, Donovan JM. Comparative evaluation of materials used for internal ureteral stents. J Endourol. 1993;7:105–15. https://doi.org/10.1089/ end.1993.7.105
[12] Hao P, Li W, Song C, Yan J, Song B, Li L. Clinical evaluation of double-pigtail stent in patients with upper urinary tract diseases: Report of 2685 cases. J Endourol. 2008;22:65–70. https://doi.org/10.1089/end.2007.0114
[13] Milicevic S, Bijelic R, Jakovljevic B. Encrustation of the ureteral double J stent in patients with a solitary functional kidney – A case report. Med Arch. 2015;69:265–8. https://doi. org/10.5455/medarh.2015.69.265-268
[14] Singh I, Gupta NP, Hemal AK, Aron M, Seth A, Dogra PN. Severely encrusted polyurethane ureteral stents: Management and analysis of potential risk factors. Urology. 2001;58:526–31. https://doi.org/10.1016/S0090-4295(01)01317-6
[15] Weedin JW, Coburn M, Link RE. The impact of proximal stone burden on the management of encrusted and retained ureteral stents. J Urol. 2011;185:542–7. https://doi.org/10.1016/j. juro.2010.09.085
[16] Sabharwal S, Macaden AR, Abrol N, Mukha RP, Kekre NS. A novel computer based stent registry to prevent retained stents: Will patient directed automated short message service and letter generator help? Indian J Urol. 2014;30:150–2. https:// doi.org/10.4103/0970-1591.126892
| Files | ||
| Issue | Vol 7 No 3 (2022): May-June | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v7i3.11122 | |
| Keywords | ||
| Forgotten DJ stent Encrustations Management | ||
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How to Cite
1.
Raina A, Khan M, Shahr A. Forgotten Double J Stent with Maximum Stone Burden. CRCP. 2022;7(3):128-133.
