| Autor: |
Muhammad Fachri Fauzi, MD, Tarmono Djojodimedjo, MD, Johan Renaldo, MD |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
Radiology Case Reports, Vol 19, Iss 11, Pp 5216-5220 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
1930-0433 |
| DOI: |
10.1016/j.radcr.2024.07.148 |
| Popis: |
Implementing double-J (DJ) stents in urological practice helps to alleviate kidney and ureteral obstruction. The primary causes of neglecting a DJ stent typically involve inadequate counseling and poor patient compliance. Encrustations of neglected DJ stents present a significant challenge. This study aims to report on a neglected DJ stent that persisted for 3 years, presenting as giant bladder and ureteral stones. We report on a 35-year-old male with chief complaints of discomfort in the suprapubic and left flank, along with concurrent micturition leakage. He had a DJ stent implanted to treat his ureteral stone 3 years ago. Advanced imaging showed a left distal ureteral stone (0.7×0.8×1.9 cm), extensive hydronephrosis and hydroureter, and a bladder stone (4.7×3.9×3.2 cm). A left ureterorenoscopy (URS) was done to remove a stone from the end of the ureter, half of a DJ stent and a bladder calculus using cystolitholapaxy. However, the patient underwent a second surgery owing to a residual bladder stone. The patient was discharged from the hospital without any symptoms. A foreign object in the urinary tract, like a DJ stent, may create secondary calculi. Endoscopic treatment could improve the efficacy of treating large bladder stones simultaneously with ureteral stones. As a measure to prevent DJ stent-related complications, it is also essential for healthcare professionals to provide information and follow-up care to patients regarding the use of DJ stents. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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