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A Journal on Angiology

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,899

Frequency: Bi-Monthly

ISSN 0392-9590

Online ISSN 1827-1839


International Angiology 2009 October;28(5):421-4

    Case reports

Caval migration of a ureteral J-stent after simultaneous ureter and iliac vein perforation during its placement for obstructive pyelonephritis

Ioannou C. V. 1, Velegrakis J. 2, Kostas T. 1, Georgakara-kos E. 1, Touloupakis E. 1, Anezinis P. 2, Katsamouris A. N. 1

1 Vascular Surgery Department, University of Crete Medical School, Heraklion, Greece
2 Urology Department, Venizelio General Hospital, Heraklion, Greece

A variety of indications have made the use of double pigtail ureteral catheters routine in urological practice. Although side effects are frequent they are usually mild. We report a case of intravenous stent migration after simultaneous perforation of the left ureter and left common iliac vein during retrograde J-stent placement. To the authors’ knowledge such a potentially severe complication of a J-stent has not been previously described. A postprocedural plain abdominal radiograph is a helpful tool which may suggest possible misplacement of the pigtail stent especially if urine fails to return from the distal opening and, if verified, advocate immediate intervention in order to avoid any further devastating complications.

language: English


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