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Case Reports
. 2019 May;98(20):e15668.
doi: 10.1097/MD.0000000000015668.

Migration of a double J stent into the inferior vena cava: A case report

Changyi Jiang  1 , Shi Fu  2 , Jian Chen  2 , Yong Chen  1 , Deqiang Chen  1 , Prashant Mishra  2 , Xiaohui Ni  1 , Changxing Ke  2
Affiliations
Case Reports

Migration of a double J stent into the inferior vena cava: A case report

Changyi Jiang et al. Medicine (Baltimore). 2019 May.

Abstract

Introduction: Intravascular migration of a double J stent into the inferior vena cava is an uncommon complication. The management of such complication is less reported in the literature. This study aimed to reveal the diagnosis and treatment process of migration of a double J stent into the inferior vena cava.

Patient concerns: A 53-year-old male patients was transferred to our hospital because of migration of a double J stent into the inferior vena cava after left-side pyelolithotomy.

Diagnosis: In accordance with manifestations on computed tomography urography, the patient was diagnosed with migration of a double J stent into the inferior vena cava.

Interventions: Percutaneous nephroscope under C-arm guidance was performed to remove the migrated stent. After the operation, the patient was treated with continued anticoagulants and antibiotics.

Outcomes: The migrated stent was removed successfully without any complications, and a new double J stent was placed and its location was confirmed under C-arm. The patient was discharged in good condition and the follow-up was uneventful.

Conclusion: Intravascular migration of a double J stent into the inferior vena cava is an uncommon complication. Radiologic imaging after placement of ureteral stent is critical for prevention of this complication. Percutaneous nephroscope under C-arm guidance is a safe and effective approach to remove the migrated DJS in the IVC.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
KUB x-ray film revealed an abnormal pathway of the double J stent that probably entered into the inferior vena cava. The red arrow shows the position of the double J stent. KUB = kidney ureters and bladder.
Figure 2
Figure 2
CTU scan confirmed that the double J stent was in the inferior vena cava (red arrow). CTU = computed tomography urography.
Figure 3
Figure 3
KUB x-ray film showed a new double J stent was placed into the left ureter (red arrow). KUB = kidney ureters and bladder.
See this image and copyright information in PMC

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