PMID- 32680502
OWN - NLM
STAT- MEDLINE
DCOM- 20210319
LR  - 20210319
IS  - 1471-2490 (Electronic)
IS  - 1471-2490 (Linking)
VI  - 20
IP  - 1
DP  - 2020 Jul 17
TI  - Embedded upper end of double J stent at the site of renal pelvis injury following 
      percutaneous nephrolithotomy: a rare complication.
PG  - 102
LID - 10.1186/s12894-020-00673-8 [doi]
LID - 102
AB  - BACKGROUND: Injury of the renal collecting system is a well-known complication of 
      percutaneous nephrolithotomy (PNL). Large injuries may cause excessive bleeding 
      and fluid extravasation and require adequate drainage using several modalities 
      such placement of JJ stents. Herein, we report on two cases in which the upper 
      coil of the JJ stent got buried in the fibrous tissues which formed due to an 
      injury of the collecting system during PNL. CASE PRESENTATION: 40 years old male 
      and 32 years old female underwent standard PNL for partial and total staghorn 
      calculi, respectively. During the procedure in both cases, the renal pelvis was 
      injured. In both cases, JJ stent was used to drain the collecting system. Trial 
      to remove the JJ stent 6 weeks following the procedure failed because the upper 
      coils of the stents were embedded in the fibrous tissues at the perforation site. 
      Laser incision of the fibrous tissues and releasing the upper coil of the stents 
      were performed using percutaneous approach in the first case and flexible 
      ureterorenoscopy (fURS) in the second patient. The procedures were uneventful in 
      both cases. CONCLUSION: This is the first report of embedded JJ stents which got 
      buried by fibrous tissues at the site of collecting system injury that occurred 
      during PNL. To prevent this complication in such cases, we suggest draining the 
      collecting system using nephrostomy tube instead of JJ stent. Alternatively, the 
      upper coil of the stent should be placed away from the injury site.
FAU - Hammad, Fayez T
AU  - Hammad FT
AD  - Department of Surgery, College of Medicine and Health Sciences, United Arab 
      Emirates University and Mediclinic Al Ain, Po Box 17666, Al Ain, UAE. 
      fayezhammad@hotmail.com.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20200717
PL  - England
TA  - BMC Urol
JT  - BMC urology
JID - 100968571
SB  - IM
MH  - Adult
MH  - Female
MH  - Humans
MH  - Kidney Pelvis/*injuries
MH  - Male
MH  - *Nephrolithotomy, Percutaneous
MH  - Postoperative Complications/*etiology
MH  - Prosthesis Design
MH  - *Prosthesis Failure
MH  - Stents/*adverse effects
PMC - PMC7367413
OTO - NOTNLM
OT  - Case report
OT  - Embedded double J stent
OT  - Injury
OT  - Percutaneous nephrolithotomy
COIS- None.
EDAT- 2020/07/19 06:00
MHDA- 2021/03/20 06:00
PMCR- 2020/07/17
CRDT- 2020/07/19 06:00
PHST- 2020/02/05 00:00 [received]
PHST- 2020/07/09 00:00 [accepted]
PHST- 2020/07/19 06:00 [entrez]
PHST- 2020/07/19 06:00 [pubmed]
PHST- 2021/03/20 06:00 [medline]
PHST- 2020/07/17 00:00 [pmc-release]
AID - 10.1186/s12894-020-00673-8 [pii]
AID - 673 [pii]
AID - 10.1186/s12894-020-00673-8 [doi]
PST - epublish
SO  - BMC Urol. 2020 Jul 17;20(1):102. doi: 10.1186/s12894-020-00673-8.