SPONTANEOUS RUPTURE OF DOUBLE J URETERAL STENT

• Published in: Journal of Surgical Sciences (Bucureşti) Vol. 7; no. 3; pp. 114 - 116
• Main Authors: El Mostapha, Abdi, Youssef, Ghannam, Hagguir, Hissein, Saleh, Nedjim Abdelkerim, Mohamed, Dakir, Adil, Debbagh, Rachid, Aboutaieb
• Format: Journal Article
• Language: English
• Published: Editura Universitara Carol Davila 26-12-2020
• Subjects: double j stent; etiopathogeny; management; spontaneous rupture
• ISSN: 2360-3038; 2457-5364
• DOI: 10.33695/jss.v7i3.396

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.