Double-J stent traversing the inferior vena cava into the right atrium: a rare cause of bacteremia after chronic stent retention.

Iatrogenic vesicovenous fistula creation via accidental implantation of the gonadal vein into the bladder with subsequent double J stent placement is an exceptionally rare complication of abdominopelvic surgery. We report the case of a 51-year-old woman who presented two years after hysterectomy and bilateral salpingo-oophorectomy in Mexico. She was found to have a double J ureteral stent passing from the bladder through the inferior vena cava into the right atrium of the heart complicated by E. coli bacteremia. Multidisciplinary management of this patient allowed for successful stent removal endoscopically without an open cardiac intervention.