Combined ureteroscopy and percutaneous nephroscopy in the oblique supine position successfully treated a ureteral double J stent misaligned to the inferior vena cava

The intravascular migration of double J stent (DJS) represents an uncommon complication in urological surgery, necessitating prompt intervention to prevent a severe outcome. This report details an infrequent instance of double J stent transposition into the inferior vena cava (IVC) that was effectively addressed using a combined approach of ureteroscopy (URS) and percutaneous nephroscopy (PCNL) performed in the oblique supine position (OSP), without significant complications.