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

• Published in: Urology annals Vol. 11; no. 1; pp. 93 - 97
• Main Authors: Tilborghs, Sam, Vaganée, Donald, De Wachter, Stefan, Hoekx, Lucien
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer India Pvt. Ltd 01.01.2019; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Medknow Publications & Media Pvt Ltd; Wolters Kluwer Medknow Publications
• Subjects: Abdomen; Algorithms; Bladder; Blood clots; Care and treatment; Case Report; Case reports; Case studies; Catheters; Complication; Endoscopy; Hematuria; Hemorrhage; hydronephrosis; Kidneys; Pain; Trauma; Ureteral obstruction; ureteral stent; Ureteral stents; urolithiasis; Veins & arteries; Vital signs; urolithiasis; Complication; hematuria; hydronephrosis; ureteral stent
• ISSN: 0974-7796; 0974-7834; 0974-7834
• DOI: 10.4103/UA.UA_52_18

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 The stent was retracted endoscopically.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.