Pamungkas Kurniawan Oki, Nawas Bustanul Arifin, Kusmayadi Dikki Drajat
Uro-Genital Sub Division, Pediatric Surgery Division, Department of Surgery Hasan Sadikin Hospital, Faculty of Medicine Padjadjaran University, Bandung, Indonesia.
Urol Case Rep. 2020 Jun 19;33:101309. doi: 10.1016/j.eucr.2020.101309. eCollection 2020 Nov.
Insertion of double-J (DJ) stent is common in pediatric urology practice as an internal urinary diversion. The DJ stent may migrate proximally into the renal pelvis which is a rare complication. We used a wire lasso to ensnare DJ stent ste through the nephrostomy route using a rigid cystoscope to retrieve the upward migration of DJ stent in 7 years old boy with right vesico-ureteric junction obstruction that previously had a re-implantation of the right ureter. As a result, the DJ stent were safely retrieved with slightly hematuria that improved before 24 hours.
双J（DJ）支架置入术在小儿泌尿外科作为一种内引流术很常见。DJ支架可能会向近端移入肾盂，这是一种罕见的并发症。我们使用钢丝套索通过肾造瘘途径，利用硬性膀胱镜在一名7岁患有右侧膀胱输尿管连接部梗阻且之前已进行右侧输尿管再植术的男孩中，捕获DJ支架以纠正其向上移位。结果，DJ支架被安全取出，伴有轻微血尿，血尿在24小时内好转。
