Development of anuria after appendectomy in a patient with a distal ureteral stone in a single kidney

The development of anuria after appendectomy is usually related to complications associated with appendicitis or with the surgical sequelae of appendectomy. We report an unusual case of anuria after appendectomy in a 20-year-old woman. The patient was transferred to our hospital due to a sudden cess...

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Bibliographic Details
Published in:Yonsei medical journal 2007-02, Vol.48 (1), p.139-141
Main Authors: Kwon, Jung-Hyun, Hwang, Eun-Mi, Choi, Bum-Soon, Kim, Yong-Soo, Bang, Byung-Kee, Yang, Chul-Woo
Format: Article
Language:English
Subjects:
Acute Kidney Injury - complications
Adult
Anuria - etiology
Appendectomy - adverse effects
Case Report
Female
Humans
Kidney - diagnostic imaging
Kidney - pathology
Tomography, X-Ray Computed
Ultrasonography
Ureteral Calculi - complications
Urography - methods
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Summary:The development of anuria after appendectomy is usually related to complications associated with appendicitis or with the surgical sequelae of appendectomy. We report an unusual case of anuria after appendectomy in a 20-year-old woman. The patient was transferred to our hospital due to a sudden cessation of urine output just after appendectomy. We initially suspected that the anuria was caused by a complication of surgery. However, a review of her medical history and an abdominal computed tomography (CT) scan revealed that a distal ureteral stone in a single kidney had caused the anuria. There are few cases in the literature regarding a distal ureteral stone in a single kidney. This case indicates the importance of radiological evaluation in the differential diagnosis of acute appendicitis, especially in patients with unilateral renal agenesis.
ISSN:0513-5796
1976-2437
DOI:10.3349/ymj.2007.48.1.139