Objective: To report one case of intrapyelic loop of a guide wire during double J catheter insertion.
Methods: We report the case of a 24 year-old female, with the diagnosis obstructive uropathy secondary to pelvic tumor who required double J catheter insertion for urinary diversion. A loop of the guide wire was formed during the procedure which was finally solved without aggressive measures.
Results: We report the case of a rare complication appeared during urinary catheter insertion procedure, as well as a review of the current literature.
Conclusion: The use of guide wires and endourological catheters is not free of complications that may require aggressive measures to be solved.