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超声引导下经皮肾镜取石术后输尿管支架无症状迁移至上腔静脉:1例极其罕见的病例及文献复习

Asymptomatic migration of ureteral stent to superior vena cava after ultrasound-guided percutaneous nephrolithotomy: An extremely rare case and review of the literature.

作者信息

Hassani Amir Hossein, Kamran Hooman, Kojuri Javad, Bazroodi Helia, Fatemian Hossein, Rasekhi Alireza, Naderi Nima, Kooshafar Saeed, Dehghani Anahita, Haghpanah Abdolreza

机构信息

School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Cardiology, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Urol Case Rep. 2024 Nov 21;58:102891. doi: 10.1016/j.eucr.2024.102891. eCollection 2025 Jan.

Abstract

Ureteral stent migration should be considered a rare complication of urologic procedures. We report a 69-year-old woman diagnosed with ureteral stent migration two weeks after undergoing percutaneous nephrolithotomy while she was symptom-free. The stent passed through the heart and extended to the superior vena cava and right brachiocephalic vein. After excluding thrombus formation, the stent was retrieved using an endovascular approach. Stent migration to the superior vena cava while being asymptomatic is extremely rare. Considering this complication is crucial to prevent consequent fatal events. This case report highlights this rare complication of ureteral stent placement and reviews its management.

摘要

输尿管支架移位应被视为泌尿外科手术的一种罕见并发症。我们报告了一名69岁女性,她在接受经皮肾镜取石术后两周被诊断为输尿管支架移位,当时她没有症状。支架穿过心脏并延伸至上腔静脉和右头臂静脉。在排除血栓形成后,通过血管内方法取出了支架。输尿管支架无症状地移位至上腔静脉极为罕见。认识到这种并发症对于预防随之而来的致命事件至关重要。本病例报告突出了输尿管支架置入的这种罕见并发症并回顾了其处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/479f/11636186/8e8ed27c6c69/gr1.jpg

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