Clinical Report: Ureteral Perforation and Periureteral Abscess Following Double-J Stent Insertion

Overview

This case report details the first documented instance of ureteral perforation and periureteral abscess following double-J stent placement in an elderly patient. Management included stent removal, nephrostomy, abscess drainage, and antibiotic therapy.

Background

Ureteral double-J stent placement is a common procedure for managing urological conditions, yet it carries risks of serious complications, particularly in elderly patients with comorbidities such as diabetes.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

• This is the first reported case of ureteral perforation with periureteral abscess following double-J stent placement.
• The patient was an 83-year-old female with type 2 diabetes and ureteral calculi.
• Management included stent removal, percutaneous nephrostomy, and ultrasound-guided abscess drainage.
• Prompt drainage of the abscess was essential, as antibiotic therapy alone was insufficient.
• Ureteral perforation typically heals spontaneously without surgical intervention, as noted in clinical literature.

Clinical Implications

Healthcare professionals should be aware of the risks associated with double-J stent placement, especially in elderly patients with diabetes.

Conclusion

This case highlights the need for careful management following ureteral stent placement.

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