Laparoscopic Management of a Misplaced Ureteral Stent in the Duodenum

Jejunal perforation and upward migration of double j stents during the cystoscopic procedure: a case report and review of literature

“…Upward migration of a DJ stent is rare, with incidences ranging from 1.2% to 8.2% reported in the literature [ 6 ]. Total abdominal displacement of a DJ stent is uncommon and has only been reported in a few cases [ 6 , 7 ]. Additionally, iatrogenic jejunal injury caused by DJ stenting is rare and usually occurs after gastrointestinal endoluminal intervention procedures [ 7 ].…”

“…Total abdominal displacement of a DJ stent is uncommon and has only been reported in a few cases [ 6 , 7 ]. Additionally, iatrogenic jejunal injury caused by DJ stenting is rare and usually occurs after gastrointestinal endoluminal intervention procedures [ 7 ]. Our patient had two complications of DJ stent; the first one was the right upward migration of DJ stent, and the second was left total DJ stent displacement into the peritoneal cavity with jejunal perforation, peritonitis, and bladder wall injuries which was the first reported case to our knowledge.…”

“…The second complication was the total abdominal displacement of the left DJ stent, bladder perforation, and jejunal injury. Malposition of a DJ stent can occur when the bladder mucosa is inflamed, allowing the guidewire to perforate the bladder wall, resulting in a false passage and faulty DJ stent placement [ 7 ]. Urinary leakage into the peritoneal cavity, peritonitis, bowel injuries, bladder perforation are a complication of peritoneal perforation during this procedure.…”

“…However, the technical details of our patient procedure were not accessible, and another urologist from a nearby hospital performed this procedure. Recently reported cases and their management of DJ stent displaced into the peritoneal cavity were summarized in Table 1 [ 3 , 4 , 7 , 12 - 18 ].…”

Distal end of a ureteral double-J stent displaced into the contralateral ureter after percutaneous nephrolithotripsy: a case report

“…It has been reported that the distal and proximal migration of ureteral stents is not rare in clinical practice ( 2 ), which usually needs no surgical interventions. Moreover, there were cases reporting the displacement of ureteral stents in the inferior vena cava ( 3 ), ventricle ( 4 ), atrium ( 5 ), duodenum ( 6 ), rectum ( 7 ), peritoneum ( 8 ), etc., and close monitoring was warranted. However, the migration of a double-J stent in the contralateral ureter has rarely been reported before, which is also hard to distinguish and may cause non-specific symptoms including lumbar pain and hydronephrosis ( 9 ).…”