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Case report
The mystery of the ureteric stent in the lumen of the terminal ileum
  1. Joachim Jimie1,
  2. Mamoon Siraj1,
  3. Margaret Lyttle1 and
  4. Hazem Alaaraj2
  1. 1Department of Urology, Mid Cheshire Hospitals NHS Foundation Trust, Crewe, Cheshire, UK
  2. 2Department of Radiology, Mid Cheshire Hospitals NHS Foundation Trust, Crewe, Cheshire, UK
  1. Correspondence to Mr Joachim Jimie; drjjimie{at}gmail.com

Abstract

A 65-year-old comorbid female patient presented to our urology department with a history of multiple interventions to treat severe overactive bladder symptoms. She had a history of clam ileocystoplasty, which was then converted to an ileal conduit due to failure to resolve her symptoms. She subsequently developed multiple complications, most significantly ureteroileal stenosis, managed with bilateral ureteric stents. She later decided on bilateral nephrostomies and subsequent antegrade stent insertion. At follow-up, the proximal end of the left stent remained within the kidney and the distal end was free within the abdominal cavity. There was further migration of the stent in its entirety into the lumen of the terminal ileum on subsequent imaging. She denied any significant gastrointestinal symptoms, signs or peritonitis. Consideration was made for the endoscopic removal of the stent by the gastrointestinal team; however, the patient refused any further procedures preferring to be monitored.

  • urological surgery
  • endoscopy
  • small intestine
  • interventional radiology
  • radiotherapy
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Footnotes

  • Contributors JJ: expressed interest in writing up the case, did the literature search and wrote up the initial draft of the case report. MS: consultant responsible for the patient and also provided input on the case report. ML: reviewed the initial draft and made corrections, suggestions and gave ideas on how to improve the level of the case report. HA: consultant radiologist who assisted in abstracting the images from the PACS system and performing the 3D reconstruction.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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