Removal of proximally migrated double J ureteric stent through a percutaneous nephrostomy route in an infant

Nirmalya Ray, Ujjwal Gorsi, Tejeshwar Singh Jugpal, Ravi Prakash Kanojia, Manavjit Singh Sandhu

Abstract


Proximal migration of double J-stent (DJ stent) can be a reason for failure of its cystoscopic removal. Antegrade percutaneous nephrostomic removal of the stent can be done in such cases. Although the technique is described in adults and older children, the technique requires some modification when used in infants because of smaller calibre of pelvicalyceal system. Here we describe a case of a 6 month old male child who was treated by robotic assisted pyeloplasty for left sided ureteropelvic junction obstruction followed by placement of DJ stent. Cystoscopic removal of the stent 6 weeks after surgery was not possible due to proximal migration of the stent. Hence, antegrade percutaneous nephrostomic removal of the stent was performed using micro-snare. Certain novel technical modifications, like advancement of a diagnostic angiographic catheter in pelvicalyceal system, has been used in this case to reduce the risk of urothelial injury. Thus, antegrade removal of DJ stent with few technical modifications can be used safely in infants for removal of proximally migrated stents.


Keywords


Double J-stent, ureteral stent, migration, percutaneous removal

Full Text:

PDF

References


Shin JH, Yoon HK, Ko GY, et al. Percutaneous antegrade removal of double J ureteral stents via a 9-F nephrostomy route. J Vasc Interv Radiol. 2007;18(9):1156-61.

Liang HL, Yang TL, Huang JS, et al. Antegrade retrieval of ureteral stents through an 8-French percutaneous nephrostomy route. AJR Am J Roentgenol. 2008;191(5):1530-35.

Jayakumar S, Marjan M, Wong K, et al. Retrieval of proximally migrated double J ureteric stents in children using goose neck snare. J Indian Assoc Pediatr Surg. 2012;17(1):6‐8.

Lal A, Singhal M, Narasimhan KL, et al. Percutaneous retrieval of coiled double-J stent from renal pelvis after Anderson-Hynes pyeloplasty: report of two cases. J Pediatr Urol. 2012;8(3):e19-22.

Boren SR, Dotter CT, McKinney M, et al. Percutaneous removal of ureteral stents. Radiology. 1984;152(1):230‐31.

Shin JH, Yoon HK, Ko GY, et al. Percutaneous antegrade removal of double J ureteral stents via a 9-F nephrostomy route. J Vasc Interv Radiol. 2007;18(9):1156‐161.




DOI: http://dx.doi.org/10.14534/j-pucr.2020461267

Refbacks

  • There are currently no refbacks.


Indexing/Abstracting

DOAJ, Tübitak/Ulakbim Turkish Medical Database, Academic OneFile, Health Reference Center Academic, US National Library of Medicine (NLM) Catalog, ICI Journals Master List (Index Copernicus), OCLC-WorldCat, Genamics-JournalSeek, J-Gate, Google Scholar, Ulrichsweb, CNKI Scholar, NAVER Academic, Research Bible, Cross Ref, EZB (Electronic Journals Library), JournalTOCs, HINARI, Norwegian Social Science Data Services (NSD), Turkiye Citation Index, SCIARY (Worldwide Science Educational Library), BASE (Bielefeld Academic Search Engine), NAIST, ICMJE, PubsHub, AcademicKeys, OAJI, OpenAIRE, Turk Medline, Publons, ROAD, SHERPA-ROMEO, SJFinder, Pubget, SciLit, Journal Finder, NYU Health Sciences Library, BIU Santé, Science Library Index, Ingenta Connect

Index Copernicus Value (ICV) 2018: 100.00

Pediatric Urology Case Reports journal does not charge a fee for submission, processing of manuscripts through peer-reviews, editing or publication of the articles.

Creative Commons License
Pediatric Urology Case Reports is licensed under a Creative Commons Attribution 4.0 International License.


eztekno