Neglected Ureteral Stent in a Patient with Chronic Kidney Disease and Solitary Functioning Kidney: Case Report and Review of Literature
Author Type(s)
Resident/Fellow
Document Type
Article
Publication Date
12-2023
DOI
10.1097/MS9.0000000000001478
Journal Title
Annals of Medicine and Surgery
Department
Medicine
Abstract
INTRODUCTION: A ureteral stent is crucial for managing urinary flow obstruction, ureteral reconstructive surgeries, and iatrogenic ureteral injuries. The authors aim to report a case of forgotten double-J stent for 17 years, the longest time reported in literature in a patient with solitary kidney and no typical long-term complications as stones formation and encrustation.
CASE PRESENTATION: A 58-year-old male with chronic kidney disease and solitary left kidney presented with left loin pain. With creatinine higher than baseline (6.2 mg/dl), he reported a neglected double-J stent placed 17 years ago in a different hospital. In addition, non-contrast computed tomography and cystoscopy revealed hydronephrosis, cystitis, and an element of infra-vesical obstruction, evident by high bladder neck. Treatment included left percutaneous nephrostomy, but he was readmitted few weeks later for cystoscopy, ureteroscopy, and a new double-J insertion. Due to worsening renal function, he was readmitted four weeks later for cystoscopic removal of the new double-J stent and Transurethral Resection of the Prostate, after which creatinine returned to baseline.
DISCUSSION: Double-J stents are vital in urological procedures, but neglecting their presence can lead to severe complications like encrustations, stone formation, stent fractures, hydronephrosis, infections, and renal function loss. Treatment of long-term complications is difficult and should consider many factors, including the type and severity of associated complications and the patient's preoperative status.
CONCLUSION: Preventing complications from neglected or forgotten double-J stents through patient education and follow-up is crucial, especially in those with solitary functioning kidneys due to the imminent loss of renal function.
Recommended Citation
Sakr, M., Badran, M., Pokhrel, P., Asfeen, U. Z., Badran, N., & Badran, M. (2023). Neglected Ureteral Stent in a Patient with Chronic Kidney Disease and Solitary Functioning Kidney: Case Report and Review of Literature. Annals of Medicine and Surgery, 85 (12), 6289-6293. https://doi.org/10.1097/MS9.0000000000001478