When is an ectopically placed ureteral stent acceptable?

*E-mail: [email protected] We report a rare case of an ectopically placed ureteral stent, which was acceptable and functional. obstructing 8 × 15-mm proximal right-sided ureteral calculus. There were also multiple nonobstructing renal calculi on the left side. An antegrade ureteral stent was placed to relieve his infected and obstructed right kidney. During stent placement, the interventional radiologist was unable to keep the distal end of the ureteral stent coiled in the ileal conduit. Unintentionally, the distal end of the guidewire was fed into the contralateral ureter. This resulted in the ureteral stent being placed across both renal collecting systems via the ileal conduit. The inadvertent placement of the ureteral stent into both ureters is rare; that the patient had a Bricker anastomosis, which makes it even less likely. Subsequent nephrostogram demonstrated bilateral patent ureters. Once the sepsis resolved, the patient underwent a right percutaneous nephrolithotomy. During this procedure, the ectopic ureteral stent was also removed. An elective left percutaneous nephrolithotomy was performed to clear his left renal calculi. Urinary tract infection and lower urinary tract reconstruction are associated with a higher incidence and recurrence rates of urolithiasis. Surgical options for the ureteral calculi include ureteroscopic lithotripsy, pyeloscopic lithotripsy, percutaneous nephrolithotomy, and extracorporeal shockwave lithotripsy. It is