The insertion of a double-J ureteral stent is a popular urological procedure used to relieve renal obstruction caused by stone disease or genitourinary cancer. A 62-year-old woman was treated with a D-J stent for hydronephrosis of her solitary working left kidney, which was aggravated by renal perforation and the development of a large retroperitoneal hematoma. She was treated conservatively, with blood transfusions and the repositioning of a double-J stent in the collection system. The first and third months after stent placement, a noncontrast computed tomography (CT) scan of the abdomen was done, which revealed that the hematoma had stabilised. Six months after D-J repositioning, the hematoma was finally gone. While a standard procedure, ureteral stent placement is not without risk, and early detection and treatment of post-stenting renal hematomas necessitate a high clinical suspicion index. To avoid hematoma-related complications, it is important to keep a close eye on the patient.
Author (s) DetailsMichael S. Nomikos
Department of Urology, Thriassion General Hospital, Athens, Greece.
Sarantis Papanikolaou
Department of Urology, Thriassion General Hospital, Athens, Greece.
George Athanassopoulos
Department of Urology, Thriassion General Hospital, Athens, Greece.
George Koritsiadis
Department of Urology, Thriassion General Hospital, Athens, Greece.
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