Percutaneous insertion of bilateral double J in pelvic cancer patients: Indications, complications, technique of antegrade ureteral stenting

• Published in: Gynecologic oncology reports 2021-11, Vol.38, p.100864, Article 100864
• Main Authors: Fabiano de Oliveira Leite, Túlio, Vatanabe Pazinato, Lucas, Mauricio da Motta Leal Filho, Joaquim
• Format: Article
• Language: English
• Subjects: Case Reports and Case Series; Double J stenting; Hydronephrosis; Nephrostomy; Percutaneous; Stents; Ureteral obstruction
• ISSN: 2352-5789; 2352-5789
• DOI: 10.1016/j.gore.2021.100864

•Anterograde percutaneous drainage is an alternative to retrograde drainage in failure.•Anterograde double-J percutaneous implant is feasible with low complication rate.•Distal ureteral obstruction, double-J antegrade implant to consider as the first choice. Antegrade percutaneous insertion of a double J seems to be a good alternative when retrograde insertion fails. Malignant ureteral obstruction occurs due to occlusion of the ureter secondary to tumor invasion, extrinsic compression, which prevents intermittent urine flow, leading to acute renal failure, increased morbidity, mortality and interruption of cancer treatment. A 26-year-old woman with endometrial carcinoma with internal invasion of pelvic structures due to urosepsis and acute renal failure. She underwent anterograde percutaneous double-J implantation by interventional radiology due to the failure of retrograde catheter implantation. The antegrade double-J percutaneous implant technique is an alternative when the retrograde technique fails. This technique is feasible, with low morbidity and mortality and good quality of life for continuing cancer treatment.