Neglected case of recurrent abdominal pain due to a chronically retained and broken double J (DJ) stent following percutaneous nephrolithotomy (PCNL): A case report

Double J (DJ stent) is commonly used in urology practices. Short- and long-term complications of indwelling catheters are increasingly noted resulting in significant morbidity and at times mortality. Retained and broken DJ stent is however rare complication with few cases reported in the literature....

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Bibliographic Details
Published in:Radiology case reports 2024-02, Vol.19 (2), p.812-817
Main Authors: Ghimire, Prasanna, Sah, Brijendra Kumar, Shrestha, Simran, Ghimire, Pragya Gautam
Format: Article
Language:English
Subjects:
Case Report
DJ stent
PCNL, Computed tomography
Ultrasound
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Summary:Double J (DJ stent) is commonly used in urology practices. Short- and long-term complications of indwelling catheters are increasingly noted resulting in significant morbidity and at times mortality. Retained and broken DJ stent is however rare complication with few cases reported in the literature. We present a case of neglected retained and broken DJ stent in a 55-year-old male who had undergone percutaneous lithotripsy (PCNL) 4 years back presenting with recurrent abdominal pain and was misdiagnosed as peptic ulcer disease at various centers. Radiological investigations including ultrasound, radiographs, and computer tomography helped in identifying the retained and broken DJ stent. Patient improved with conservative management and left against medical advice for definite treatment. Patient education and ensuring proper follow-up can reduce the likelihood of complications associated with DJ stents.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2023.11.030