Case Report: Ureteral double-J stent placement: a rare case of ureteral perforation complicated by periureteral abscess - Takeaways - MDSpire

Case Study: Ureteral Perforation and Periureteral Abscess Following Double-J Stent Insertion in an Elderly Patient

  • By

  • Tao Zhou

  • Lei Yao

  • July 20, 2026

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  • 1

    This case report documents the first instance of ureteral perforation and periureteral abscess following double-J stent placement.

  • 2

    An 83-year-old female with type 2 diabetes developed complications after ureteral stent insertion for stone-induced obstruction.

  • 3

    Management included stent removal, percutaneous nephrostomy, abscess drainage, and targeted antibiotic therapy.

  • 4

    Ureteral perforation can occur due to improper stent placement, particularly in elderly diabetic patients with fragile ureteral walls.

  • 5

    The patient showed complete resolution of symptoms and no recurrence during a six-month follow-up after treatment.

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