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Case Reports
. 2022 Sep 21;14(9):e29427.
doi: 10.7759/cureus.29427. eCollection 2022 Sep.

A Novel Endoscopic Approach for Distally Calcified Ureteral Stents

Vanessa Aponte  1 , Thomas L Haupt  1 , Rasheed Thompson  1 , Jeremy B Tonkin  2 , Pamela W Coleman  2
Affiliations
Case Reports

A Novel Endoscopic Approach for Distally Calcified Ureteral Stents

Vanessa Aponte et al. Cureus. .

Abstract

Double-J ureteral stents are an invaluable tool in urology and are one of the most widely used stents in the world. However, when left in situ for prolonged periods, so-called "retained" ureteral stents can lead to numerous complications such as migration, hematuria, encrustation, or stent occlusion. These complications present severe challenges in urologic management. Notably, encrustation of ureteral stents may increase the risk of renal impairment and other potentially life-threatening complications. Here, we present the case of a 34-year-old female with a left double-J ureteral stent who presented to the Emergency Department (ED) with a one-day history of left flank pain and febrile urinary tract infection.

Keywords: bladder calculi; endourology; lithotripsy; ureteral stent; urology.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Pre-operative CT abdomen/pelvis further revealed the distally calcified ureteral stent in the urinary bladder
Figure 2
Figure 2. Pre-operative ultrasound further revealed the distally calcified ureteral stent in the urinary bladder
Figure 3
Figure 3. Intraoperative fluoroscopic image of the distally calcified stent
Figure 4
Figure 4. Intraoperative fluoroscopic image shortly after stent removal with residual stone fragments prior to irrigation
Figure 5
Figure 5. Postoperative image after successful extraction of the calcified ureteral stent
See this image and copyright information in PMC

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