Intravascular double J stent migration: A case report, review, and management algorithm

• Main Authors: Sam Tilborghs, Donald Vaganée, Stefan De Wachter, Lucien Hoekx
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2019-01-01
• Series: Urology Annals
• Subjects: Complication; hematuria; hydronephrosis; ureteral stent; urolithiasis
• Online Access: http://www.urologyannals.com/article.asp?issn=0974-7796;year=2019;volume=11;issue=1;spage=93;epage=97;aulast=Tilborghs

A double J stent (DJS) is the main therapy for ureteral obstruction when conservative treatment fails. Antegrade migration in the bladder – or retrograde migration in the ureter – are well-known complications. We present a case with intravascular migration of a DJS into the inferior vena cava. Inferior venocavagraphy confirmed the position of the stent, and thrombus formation was excluded at its tip. The stent was retracted endoscopically. After the procedure, limited contrast leakage was seen at the perforation site on venography. The current available literature is reviewed. Based on this, a management algorithm is drawn up.