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经皮肾镜碎石术后输尿管双J支架远端移位至对侧输尿管:一例病例报告

Distal end of a ureteral double-J stent displaced into the contralateral ureter after percutaneous nephrolithotripsy: a case report.

作者信息

Chen Junyong, Xie Tao, Xu Ya, Deng Jian, Zhang Jie, Zhu Yumo, Li Guiyuan

机构信息

Department of Urology, Zhuhai People's Hospital (Zhuhai Hospital Affiliated with Jinan University), Zhuhai, China.

Department of Radiology, Zhuhai People's Hospital (Zhuhai Hospital Affiliated with Jinan University), Zhuhai, China.

出版信息

Front Med (Lausanne). 2023 Sep 21;10:1239053. doi: 10.3389/fmed.2023.1239053. eCollection 2023.

DOI:10.3389/fmed.2023.1239053
PMID:37809339
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10551623/
Abstract

We report displacement of the distal end of a ureteral double-J stent into the contralateral ureter after percutaneous nephrolithotripsy (PCNL) in a 71-year-old man with a history of left kidney stones. Postoperative computed tomography imaging showed that the distal end of the left ureteral double-J stent was displaced into the right ureter, which resulted in persistent right renal colic when the nephrostomy tube was clipped and continuous urine leakage from the nephrostomy opening after the nephrostomy tube was removed. After the cystoscopic adjustment of the ureteral stent, the patient recovered uneventfully and was discharged home the next day.

摘要

我们报告了一例71岁有左肾结石病史男性患者,在经皮肾镜取石术(PCNL)后,输尿管双J支架远端移位至对侧输尿管。术后计算机断层扫描成像显示,左输尿管双J支架远端移位至右输尿管,这导致在夹闭肾造瘘管时出现持续性右肾绞痛,且在拔除肾造瘘管后肾造瘘口持续漏尿。经膀胱镜调整输尿管支架后,患者恢复顺利,次日出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/666c/10551623/18edd5b6176b/fmed-10-1239053-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/666c/10551623/bea82a0fb03d/fmed-10-1239053-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/666c/10551623/35b009e65568/fmed-10-1239053-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/666c/10551623/18edd5b6176b/fmed-10-1239053-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/666c/10551623/bea82a0fb03d/fmed-10-1239053-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/666c/10551623/35b009e65568/fmed-10-1239053-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/666c/10551623/18edd5b6176b/fmed-10-1239053-g0003.jpg

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Distal end of a ureteral double-J stent displaced into the contralateral ureter after percutaneous nephrolithotripsy: a case report.经皮肾镜碎石术后输尿管双J支架远端移位至对侧输尿管:一例病例报告
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本文引用的文献

1
Laparoscopic Management of a Misplaced Ureteral Stent in the Duodenum.十二指肠内误置输尿管支架的腹腔镜处理
J Endourol Case Rep. 2020 Dec 29;6(4):451-453. doi: 10.1089/cren.2020.0178. eCollection 2020.
2
A case report of endorectal displacement of a right ureteral stent following radiochemotherapy and Bevacizumab.放射化疗和贝伐单抗治疗后直肠内右输尿管支架移位 1 例报告
BMC Urol. 2019 Dec 9;19(1):128. doi: 10.1186/s12894-019-0566-1.
3
Ureteric stents: Overview of current clinical applications and economic implications.输尿管支架:当前临床应用及经济影响概述。
Int J Urol. 2020 Jan;27(1):7-15. doi: 10.1111/iju.14119. Epub 2019 Sep 23.
4
Ureteral double J stent displaced into vena cava and management with laparoscopy: A case report and review of the literature.输尿管双J支架移位至腔静脉并经腹腔镜处理:一例病例报告及文献复习
World J Clin Cases. 2018 Dec 26;6(16):1160-1163. doi: 10.12998/wjcc.v6.i16.1160.
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Advances in ureteral stents.输尿管支架的进展
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6
Complete intraperitoneal displacement of a double J stent: a first case.双J管完全腹腔内移位:首例报道
Arch Ital Urol Androl. 2015 Mar 31;87(1):95-7. doi: 10.4081/aiua.2015.1.95.
7
Double J ureteral stent displaced through the right ventricle.双J型输尿管支架移位至右心室。
Interact Cardiovasc Thorac Surg. 2014 Jun;18(6):853-4. doi: 10.1093/icvts/ivu037. Epub 2014 Mar 14.
8
Intracaval migration: an uncommon complication of ureteral Double-J stent placement.腔静脉内迁移:双 J 输尿管支架置入术的一种不常见并发症。
J Endourol. 2012 Feb;26(2):119-21. doi: 10.1089/end.2011.0469. Epub 2012 Jan 4.
9
Risk factor analysis and management of ureteral double-j stent complications.输尿管双J管并发症的危险因素分析与处理
Rev Urol. 2010 Spring;12(2-3):e147-51.
10
The pigtail ureteral stent in the cancer patient.
J Urol. 1979 Jan;121(1):17-8. doi: 10.1016/s0022-5347(17)56643-4.