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Cystoscopic extraction of an inadvertently placed ureteral stent in inferior vena cava |
Ambegoda Liyana Arachchige Madura Chathuranga Ambegodaa,*(),Maduwe Gedera Sagara Ruwan Kumaraa,Kusala Sandamaleeb,Anuruddha Mahasen Abeygunasekeraa
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aDepartment of Urology, Colombo South Teaching Hospital, Dehiwala, Sri Lanka bDepartment of Radiology, Colombo South Teaching Hospital, Dehiwala, Sri Lanka |
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Abstract Dear Editor, A stent is a tube kept within a tubular structure to maintain luminal patency or protect an anastomosis or graft. In urological practice ureteral stents are inserted to relieve ureteral obstruction, to support ureteral anastomoses and repairs, to treat minor ureteric injuries, and to identify the ureters at open surgery. During insertion, ureteral stents may pierce the ureteric wall and enter adjacent structures. During removal, stents may cause undue damage to the ureter like ureteric avulsion and urine extravasation. Such injuries are categorized together under stenting induced trauma (SIT) [1]. Inadvertent entry of the stent into adjacent major vessels after perforation of the ureter is an important form of SIT due to its potential of causing life threatening complications.
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Received: 16 May 2018
Available online: 11 September 2019
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Corresponding Authors:
Ambegoda Liyana Arachchige Madura Chathuranga Ambegoda
E-mail: mcambegoda@yahoo.co.uk
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Post procedural cross sectional imaging. (A) X-ray KUB showing a medially displaced double-J stent with the straightened upper end. Note the lower ureteric calculi and percutaneous nephrostomy tube; (B) Non-contrast CT KUB showing the ureteral stent inside the IVC. KUB, kidney ureter bladder; IVC, inferior vena cava.
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