Intracardiac Migration of the Ureteral Double-J Stent during Percutaneous Nephrolithotomy

The complications of percutaneous nephrolithotomy (PNL) include hemorrhage, damage to adjuvant organs, and other medical issues, although intracardiac migration of ureteral double-J stent has never been found during PNL and delaying the diagnosis might cause mortality. We report the case of a 60-yea...

Full description

Bibliographic Details
Main Authors: Chun-Kai Chang, Yi-Hsuan Wu, Ming-Chen Paul Shih, Jiun-Hung Geng
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/57/9/939
Description
Summary:The complications of percutaneous nephrolithotomy (PNL) include hemorrhage, damage to adjuvant organs, and other medical issues, although intracardiac migration of ureteral double-J stent has never been found during PNL and delaying the diagnosis might cause mortality. We report the case of a 60-year-old male who was admitted to receive one-stage PNL for right renal stones. During operation, an unexpected atrial fibrillation with a drop in blood pressure was suddenly encountered and the chest X-ray subsequently showed that the ureteral double-J had penetrated deep into the heart. Emergent endovascular intervention was performed to remove the stent and the patient was uneventfully discharged 2 days later.
ISSN:1010-660X
1648-9144