Altay Bülent, Erkurt Bülent, Kiremit Murat Can, Güzelburç Vahit
Department of Urology, Istanbul Medipol University Faculty of Medicine, İstanbul, Turkey.
Turk J Urol. 2015 Jun;41(2):96-8. doi: 10.5152/tud.2015.53367. Epub 2015 Feb 18.
Double-j (DJ) ureteral stenting is a very common procedure performed after various endourological procedures. Although several complications due to DJ stent insertion were revealed, only three cases of renal parenchymal perforation have been reported to date. We present a case of a 35-year-old woman who had perforation of renal parenchyma without perirenal hematoma following insertion of DJ ureteral stent after flexible ureteroscopy for the treatment of an upper ureteral calculi. Non-contrast computed tomography was used for diagnosis. Patient was successfully managed with repositioning of the stent under fluoroscopic guidance on postoperative second day postoperatively.
双J（DJ）输尿管支架置入术是各种腔内泌尿外科手术后非常常见的操作。尽管已发现DJ支架置入术会引发多种并发症，但迄今为止仅报道了3例肾实质穿孔病例。我们报告了1例35岁女性病例，该患者在接受软性输尿管镜检查治疗上段输尿管结石后插入DJ输尿管支架，出现了肾实质穿孔但无肾周血肿。采用非增强计算机断层扫描进行诊断。患者在术后第二天通过在荧光镜引导下重新放置支架成功得到治疗。
