A double-J stent misguided by zebra guidewire into ileum: A case report and literature review

The case is a 70-year-old man who underwent a left nephroureterectomy and cutaneous ureterostomy on the contralateral side for invasive bladder cancer had to be accepted replacement of the double-J stent because of stomal stenosis.When replacing the double-J stent, a severe complication that the dou...

Full description

Saved in:
Bibliographic Details
Published inUrology case reports Vol. 44; p. 102128
Main Authors Liu, Liangcheng, Cao, Guihua, Huang, Guimin, Du, Jianping, Li, Wei, Li, Qiang
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.09.2022
Elsevier
Subjects
Case report
Double-J stents
Oncology
Ureteral perforation
Uretero-ileal fistula
Uretero-ileal fistula
CT
3D
Case report
SCr
Ureteral perforation
BUN
Double-J stents
Online AccessGet full text

Cover

More Information
Summary:The case is a 70-year-old man who underwent a left nephroureterectomy and cutaneous ureterostomy on the contralateral side for invasive bladder cancer had to be accepted replacement of the double-J stent because of stomal stenosis.When replacing the double-J stent, a severe complication that the double-J stent misguided into the ileum occurred. The patient underwent gastrointestinal motility drugs, and the double-J stent was excreted with the feces after 12 hours. Unfortunately，patient suffered a uretero-ileal fistula and died of septic shock finally.The diagnosis and management of Uretero-ileal fistula as an iatrogenic complication of zebra guidewire use is discussed.
ISSN:2214-4420
2214-4420
DOI:10.1016/j.eucr.2022.102128