Mao Xia-Wa, Xu Gang, Xiao Jia-Quan, Wu Hui-Feng
Department of Urology, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang Province, China.
World J Clin Cases. 2018 Dec 26;6(16):1160-1163. doi: 10.12998/wjcc.v6.i16.1160.
We reported displacement of a ureteral double J stent into the vena cava and laparoscopic management in a 69-year-old patient with a history of ureteral stent placement. Preoperative computed tomography and plain X-rays showed malpositioning of the double J stent and displacement into the inferior vena cava. The characteristics of stent misplacement precluded endovascular procedures and explorative laparoscopic surgery was performed. The intra- and postoperative periods were uneventful. Postoperative imaging demonstrated that the new double J stent was in the right position. The patient was discharged 7 d after the operation and was symptom free at the 4-mo follow-up.
我们报告了1例有输尿管支架置入史的69岁患者,其输尿管双J支架移位至腔静脉并接受了腹腔镜治疗。术前计算机断层扫描和X线平片显示双J支架位置不当并移位至下腔静脉。支架错位的特征排除了血管内手术,因此实施了探索性腹腔镜手术。术中和术后过程均顺利。术后影像学检查显示新的双J支架位置正确。患者术后7天出院,4个月随访时无症状。