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PROXIMAL MIGRATION OF URETERAL STENT WITH URETERIC OBSTRUCTION AFTER KIDNEY TRANSPLANT

RAJEEV SHARMA, SOLHEE LEE, PUNEET BHATTİ, STEVEN LUCAS

Experimental and Clinical Transplantation - 2022;20(7):687-690

Department of Surgery and the Department of Urology, Wayne State University School of Medicine, Detroit Medical Center-Harper University Hospital, Detroit, Michigan, USA

 

In this case report, we present the rare complication of proximal migration of ureteral stent after kidney transplant, and we describe our approach for its diagnosis and treatment. Although endoscopic management is the treatment of choice for retrieval of migrated stents, we reexplored the transplant in response to erroneous reporting of ureteral stent lying in an extravesicular position on a pelvic computed tomography scan. Subsequent exploration disproved the original interpretation of the image. Proximal stent migration may result from retrograde peristalsis and is generally related to suboptimal stent length.