Korean J Urol.  2014 May;55(5):360-362. 10.4111/kju.2014.55.5.360.

Misplacement or Migration? Extremely Rare Case of Cardiac Migration of a Ureteral J Stent

• Kim TN
• Lee CH
• Kong DH
• Shin DK
• Lee JZ

• KMID: 1988415
• DOI: http://doi.org/10.4111/kju.2014.55.5.360

Abstract

A 29-year-old woman with mild back pain when coughing and suprapubic discomfort after voiding was admitted to Pusan National University Hospital. Two weeks earlier, she had undergone a hysterectomy and right-sided ureteroneocystostomy for uterine atony and right ureteral injury with bladder rupture. Computed tomography showed that a ureteral J stent extended from the right ovarian vein to the right cardiac chamber. The stent was retrieved via both femoral veins with a snare loop and pigtail catheter. Computed tomography showed that the urinary and vascular tracts were normal 5 months after the procedure.

Keyword

Foreign-body migration; Heart; Stents

MeSH Terms

Adult
Back Pain
Busan
Catheters
Cough
Female
Femoral Vein
Foreign-Body Migration
Heart
Humans
Hysterectomy
Rupture
SNARE Proteins
Stents*
Ureter*
Urinary Bladder
Uterine Inertia
Veins
SNARE Proteins

Figure

• 

  FIG. 1 (A) Intravenous urogram revealed the double J stent extruding from the urinary tract (white arrows). (B) Computed tomographic kidney, ureter, and bladder revealed the proximal end of the stent located in the right cardiac chamber (C) through the inferior vena cava (white arrow).

• 

  FIG. 2 (A) The snare loop (white arrow) and pigtail catheter (black arrow) were inserted into the intravenous pyelogram. (B) The distal end of the ureteral J stent (white arrow) was successfully caught and pulled downward.

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