Laparoscopic management of misplaced ureteral double J stent into a left branch of duplicated inferior vena cava

Abstract

Introduction: Double J Stent is frequently used to preserve urine flow to the kidney in urolithiasis. Migration of double J stent is highly reported in literature. Duplicated inferior Vena Cava is a rare entity that is asymptomatic and usually incidentally diagnosed. Case Presentation: A case of a 46 years old male patient known for multiple episodes of kidney stones presenting for left urolithiasis with hydroureteronephrosis and have underwent a double J stent insertion without fluoroscopic guidance and was discharged home uneventfully, while he returns again for left flank pain. He was diagnosed with Double J stent mispositioning into a duplicated left inferior vena cava. Therefore, a laparoscopic intervention was done to extract the stent and replace it with a new one simultaneously with repair of both the ureter and the vein. Conclusion: Duplicated inferior vena cava is an uncommon finding that has a lot of complications. This is the first reported migration of double J stent into a duplicated inferior vena cava that was Laparoscopically repaired. Keywords: Ureteral stone; Computed tomography scan; Double J stent migration; Duplicated inferior vena cava