{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T06:03:38Z","timestamp":1784527418354,"version":"3.55.0"},"reference-count":9,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This case report presents the first documented instance of ureteral perforation complicated by a periureteral abscess following double-J stent placement. The diagnostic and therapeutic experience is summarized herein.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>An 83-year-old female with type 2 diabetes mellitus and ureteral calculi underwent ureteral stent insertion for stone-induced obstruction. Subsequently, she developed ureteral perforation accompanied by a periureteral abscess. Management involved stent removal, left percutaneous nephrostomy, ultrasound-guided abscess drainage, and targeted antibiotic therapy. Eventually, the patient's symptoms resolved, the abscess was completely absorbed, and no recurrence was observed during follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Double-J ureteral stent insertion can lead to numerous life-threatening complications. Improper stent placement may result in ureteral perforation and subsequent periureteral abscess formation. This risk is particularly elevated in elderly diabetic patients with chronic infection due to ureteral calculi, as the ureteral wall is fragile and prone to perforation during retrograde catheterization. Percutaneous nephrostomy may represent a more appropriate strategy for relieving obstruction in such cases. If stent insertion is performed, forceful maneuvers must be avoided during the procedure, the procedure should be performed under fluoroscopic guidance and early postoperative CT imaging is recommended to confirm proper stent positioning. Ureteral perforation typically heals spontaneously without surgical repair. Once a periureteral abscess develops, prompt percutaneous drainage is essential, as antibiotic therapy alone has limited efficacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1890796","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T05:34:51Z","timestamp":1784525691000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Ureteral double-J stent placement: a rare case of ureteral perforation complicated by periureteral abscess"],"prefix":"10.3389","volume":"13","author":[{"given":"Tao","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Urology, The Second Affiliated Hospital of Zhejiang Chinese Medical University","place":["Hangzhou, Zhejiang, China"]},{"name":"Zhejiang Provincial Key Laboratory of Sexual Function of Integrated Traditional Chinese and Western Medicine","place":["Hangzhou, Zhejiang, China"]},{"name":"Zhejiang Provincial Key Laboratory of Traditional Chinese Medicine","place":["Hangzhou, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Urology, The Second Affiliated Hospital of Zhejiang Chinese Medical University","place":["Hangzhou, Zhejiang, China"]},{"name":"Zhejiang Provincial Key Laboratory of Sexual Function of Integrated Traditional Chinese and Western Medicine","place":["Hangzhou, Zhejiang, China"]},{"name":"Zhejiang Provincial Key Laboratory of Traditional Chinese Medicine","place":["Hangzhou, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1007\/s11934-018-0818-8","article-title":"Ureteral stent discomfort and its management","volume":"19","author":"Fischer","year":"2018","journal-title":"Curr Urol Rep"},{"key":"B2","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1038\/nrurol.2014.340","article-title":"Ureteral stent-associated complications\u2013where we are and where we are going","volume":"12","author":"Lange","year":"2015","journal-title":"Nat Rev Urol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1159\/000065563","article-title":"Early and late complications of double pigtail ureteral stent","volume":"69","author":"Damiano","year":"2002","journal-title":"Urol Int"},{"key":"B4","doi-asserted-by":"publisher","first-page":"103292","DOI":"10.1016\/j.eucr.2025.103292","article-title":"Complete extrarenal migration of a double-J ureteral stent following ureteral stone management: a case report","volume":"64","author":"Youssef","year":"2025","journal-title":"Urol Case Rep"},{"key":"B5","doi-asserted-by":"publisher","first-page":"446","DOI":"10.1089\/end.2016.0827","article-title":"Risks and benefits of postoperative double-J stent placement after ureteroscopy: results from the clinical research office of endourological society ureteroscopy global study","volume":"31","author":"Muslumanoglu","year":"2017","journal-title":"J Endourol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1016\/S1607-551X(09)70404-8","article-title":"Management of symptomatic urolithiasis during pregnancy","volume":"23","author":"Juan","year":"2007","journal-title":"Kaohsiung J Med Sci"},{"key":"B7","doi-asserted-by":"publisher","first-page":"769","DOI":"10.25122\/jml-2021-0352","article-title":"Ureteral stent complications - experience on 50,000 procedures","volume":"14","author":"Geavlete","year":"2021","journal-title":"J Med Life"},{"key":"B8","doi-asserted-by":"publisher","first-page":"378","DOI":"10.5334\/jbr-btr.140","article-title":"An unusual complication of ureteral double-J stent placement: ureteral perforation","volume":"97","author":"Resorlu","year":"2014","journal-title":"JBR-BTR"},{"key":"B9","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1089\/cren.2019.0017","article-title":"Large hepatic subcapsular hematoma secondary to double-J stent placement","volume":"5","author":"Blas","year":"2019","journal-title":"J Endourol Case Rep"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1890796\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T05:34:53Z","timestamp":1784525693000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1890796\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,20]]},"references-count":9,"alternative-id":["10.3389\/fsurg.2026.1890796"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2026.1890796","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,20]]},"article-number":"1890796"}}