Bilateral ureteral obstruction after appendicectomy

Acute renal failure due to bilateral ureteral obstruction is a rare complication after appendectomy in children. We report a case of anuria in an 11-year-old boy five days after surgery for a perforated acutely inflamed appendix. No abscess was found with CT. After saline-filling of the urinary blad...

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Bibliographic Details
Published in:The surgeon (Edinburgh) 2005-02, Vol.3 (1), p.45-47
Main Authors: Seeberg, L.T., Edenberg, J., Sætren, H.
Format: Article
Language:English
Subjects:
Acute Kidney Injury - immunology
Acute postrenal obstruction
anuria
appendectomy
Appendectomy - adverse effects
Appendicitis - immunology
Appendicitis - surgery
Biological and medical sciences
Child
distal obstruction of ureters
General aspects
haematuria
Humans
Male
Medical sciences
Stents
Stomach, duodenum, intestine, rectum, anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Treatment Outcome
ultrasound
Ureteral Obstruction - immunology
Ureterostomy - instrumentation
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Summary:Acute renal failure due to bilateral ureteral obstruction is a rare complication after appendectomy in children. We report a case of anuria in an 11-year-old boy five days after surgery for a perforated acutely inflamed appendix. No abscess was found with CT. After saline-filling of the urinary bladder, transabdominal ultrasound demonstrated echogenic “plugs” in the distal parts of both ureters. Cystoscopy revealed inflammatory changes in the bladder base. Following introduction of bilateral ureteric stents, there was rapid normalisation of urinary output and serum creatinine. A review of the literature disclosed 15 similar cases, all boys in the age group 6 to 15 years
ISSN:1479-666X
2405-5840
DOI:10.1016/S1479-666X(05)80012-5