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Case Reports
. 2019 Oct 17:28:101049.
doi: 10.1016/j.eucr.2019.101049. eCollection 2020 Jan.

Ureteral stump empyema with calculi

Walid Smeoui  1 , Ahmed Samet  1 , Talel Touaiti  1 , Nouri Rebai  1 , Abderrazek Bouzouita  2 , Mourad Hadjslimène  1
Affiliations
Case Reports

Ureteral stump empyema with calculi

Walid Smeoui et al. Urol Case Rep. .

Abstract

A 52-year-old man with a history of right nephrectomy for a nonfunctioning kidney, consults after 22 years for fever with right lower abdominal pain. Surgical exploration was thereafter performed and the right ureteral stump was removed en bloc. Pathological examination of the right ureterectomy specimen revealed a significant acute and chronic ureteritis due to stone without any signs of malignancy. Owing to the low incidence of complications associated with ureteral stump, we suggest that if ureteral remnant becomes symptomatic, a distal ureterectomy should be performed without any delay avoiding subsequent complications of the stump.

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Figures

Fig. 1
Fig. 1
Computed tomography(CT) scan a, b: Coronal section: tubular structure descended along the retroperitoneal space, down to the level of an obstructing stone. c, d: Axial section: Peripheral enhancement and thickening (white arrow) of the ureteral stump with a hypodense content and inflammatory signs.
Fig. 2
Fig. 2
Surgical exploration: significant expansion of the right ureteral stump.
See this image and copyright information in PMC

References

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