Ureteric stent fracture

Case contributed by Servet Kahveci
Diagnosis certain

Presentation

Patient with cervical cancer. Assessment of hydronephrosis.

Patient Data

Age: 60 years
Gender: Female

Initial

ct

Double-J stent inserted due to ureteric invasion by cervix cancer.

The double-J stent is normal.

3 months later

ct

After 3 months, a CT was obtained.

The size of the cervical lesion has increased compared to previous study but there is no difference in terms of hydronephrosis.

The double-J stent was not seen on one CT slice at the level of the middle ureter. This suggests fracture of the double-J stent. 

Initial

x-ray

Normal double-J stent.

3 months later

x-ray

Double-J stent fracture.

Case Discussion

Sometimes localizer (scout) radiographs from CT may provide more information compared to the axial series, such as the assessment of catheter position and integrity.

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