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Obstetrics and gynaecology
Navigating the complexities of a forgotten double J stent
  1. Anupama Bahadur1,
  2. Rajlaxmi Mundhra1,
  3. Ayush Heda1 and
  4. Vikas Kumar Panwar2
  1. 1Obstetrics and Gynaecology, All India Institute of Medical Sciences Rishikesh, Rishikesh, Uttarakhand, India
  2. 2Urology, All India Institute of Medical Sciences Rishikesh, Rishikesh, Uttarakhand, India
  1. Correspondence to Dr Rajlaxmi Mundhra; rmundhra54{at}yahoo.com

Abstract

Double-J (DJ) stents are most commonly used urological tools these days. Serious complications may occur when stents are left in place for longer duration. We present a case of a woman in her 40s with a forgotten DJ stent for 4 years, leading to complications such as encrustations, bladder and renal stone formation. The patient underwent a comprehensive endourological approach, including endoscopic cystolithotomy and left-sided percutaneous nephrolithotomy. The case highlights the importance of timely stent removal to prevent complications such as encrustations and stone formation. Patient education and counselling are crucial to avoid poor compliance and the associated risks of forgotten stents. This case underscores the significance of a multidisciplinary approach and emphasises the need for proactive measures to prevent such complications, including the implementation of a stent placement registry.

  • urological surgery
  • uterus
  • urinary and genital tract disorders

https://doi.org/10.1136/bcr-2024-259992

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    Footnotes

    • X @Vikas

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: AB, RM, AH and VKP. The following authors gave final approval of the manuscript: AB and RM.

    • 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.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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