Double-J Stent Fracture After Shock-Wave Lithotripsy: A Rare Adverse Event

Extracorporeal Shock-Wave Lithotripsy (ESWL) is a widely used, non-invasive treatment modality for urinary stone disease with a favorable safety profile. Common complications include hematuria, pain, and infection, whereas rare but serious adverse events such as renal hematomas, arrhythmias, and injuries to adjacent organs have also been reported. Ureteral stent-related complications following ESWL are uncommon. Herein, we report a rare case of proximal double-J ureteral stent fracture detected after ESWL in a patient treated for a renal pelvic stone. The case underscores the importance of considering stent-related structural complications in patients undergoing ESWL with indwelling ureteral stents, particularly when higher shock frequencies are used.