Successful ureteral stent placement with rendezvous technique for ureteral obstruction after urinary diversion: A case report.
Radiol Case Rep
; 19(11): 4908-4911, 2024 Nov.
Article
in En
| MEDLINE
| ID: mdl-39228942
ABSTRACT
Ureteral obstruction after urinary diversion is not a rare complication, and the treatment is generally the ureteral stent placement via antegrade approach via the nephrostomy. We present a case of 64-year-old man with history of total pelvic resection and urinary diversion for local recurrence of rectal cancer who presented bilateral ureteral obstruction due to postoperative adhesion. First, bilateral nephrostomies were performed. The antegrade approach via nephrostomy could not break through the obstruction in the left side. Therefore, antegrade and retrograde approaches were attempted, and the internal-external drainage catheter could be placed by the rendezvous technique using bilateral microcatheters and microguidewires. The patient was able to avoid a permanent nephrostomy and continues to undergo regular internal drainage catheter exchange. Permanent nephrostomy considerably reduces the patient's quality of life, and in cases of tight obstruction, rendezvous techniques can be used.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Radiol Case Rep
Year:
2024
Document type:
Article
Affiliation country:
Japan
Country of publication:
Netherlands