Chen Chun-Kai, Li Ching-Chia, Ke Hung-Lung, Chou Yii-Her, Huang Chun-Hsiung, Shih Ming-Chen
Department of Urology, Kaohsiung Medical University, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2003 Feb;19(2):84-7. doi: 10.1016/S1607-551X(09)70454-1.
Ureteral stents are an integral part of urologic practices. Nonetheless, stents that migrate, fragment, or are forgotten pose management and legal dilemmas. We report the case of a "forgotten" stent, which migrated upward into the right renal pelvis, concomitant with a ureteral stone. The "forgotten" stent was placed 7 years previously during right ureteral stone treatment. The patient finally underwent nephroscopic stent retrieval and ureteroscopic ureteral stone removal. The final plain X-ray demonstrated no stone fragment or residual double J stent fragment. The patient withstood the procedure well and was free of symptoms thereafter.
输尿管支架是泌尿外科临床实践中不可或缺的一部分。尽管如此，发生移位、断裂或被遗忘的支架会带来处理和法律方面的难题。我们报告一例“被遗忘”的支架病例，该支架向上移入右肾盂，同时合并输尿管结石。这个“被遗忘”的支架是7年前在右侧输尿管结石治疗期间置入的。患者最终接受了经皮肾镜支架取出术和输尿管镜下输尿管结石取出术。最后的腹部平片显示没有结石碎片或残留的双J支架碎片。患者手术耐受良好，术后无症状。
