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Case Series
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| Knotty problems: Two cases of challenging JJ stent removal | ||||||
| K. Bonev1, I. Donkov1, A. Simpson1 | ||||||
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1Department of Urology, Lincoln County Hospital, United Lincolnshire Hospitals NHS Trust, Lincoln, United Kingdom.
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| How to cite this article |
| Bonev K, Donkov I, Simpson A. Knotty problems: Two cases of challenging JJ stent removal. Int J Case Rep Images 2015;6(8):462–464. |
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Abstract
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Introduction:
The JJ stent insertion and removal is quite common urological procedure, which could be challenging sometimes as per knot formed on proximal stent end. By using rigid 8cH ureteroscope the authors provide recommendations for difficult stent removal.
Case Series: Two cases of difficult JJ stent removal on two patients who had previously renal colic. The stents were 6cH/26cm; most common used ones. JJ stents looked unremarkably on the fluoroscopy before their retrieval. On the extraction their proximal ends formed knots, which were bigger than the diameter of the ureter. By use of short 8cH rigid ureteroscope positioned distally adjacent to the stent, sufficient dilatation of the ureter was gained. Conclusion: The JJ stent removal is a delicate procedure, which nevertheless its technical simplicity could bring up unexpected complication to raise urologist's awareness. | |
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Keywords:
Complication, Fluoroscopy, JJ stent, Knotty problems, Ureteroscopy
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Author Contributions:
K. Bonev – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published I. Donkov – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published A. Simpson – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 K. Bonev et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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