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Case Reports
. 2021 May 13;14(5):e238669.
doi: 10.1136/bcr-2020-238669.

Transient ureteric obstruction following pelvic floor reconstruction

Liam Joseph Beamer  1 , Sarah Neary  2 , Thomas McCormack  2 , David Ankers  2
Affiliations
Case Reports

Transient ureteric obstruction following pelvic floor reconstruction

Liam Joseph Beamer et al. BMJ Case Rep. .

Abstract

We describe the first reported case of transient distal ureteric obstruction attributed to post-surgical oedema in a patient with a solitary kidney. This occurred following combined pelvic floor repair and sacrospinous fixation for recurrent pelvic organ prolapse and manifested clinically as anuria, radiological hydroureter and acute kidney injury in the postoperative period. The transient nature of this obstruction, which was managed by a temporary percutaneous nephrostomy, indicates that it was caused by ureteric compression secondary to soft tissue oedema following surgery. We highlight the importance of this potential complication in females with a history of nephrectomy, unilateral renal tract anomalies or severely diminished renal reserve.

Keywords: acute renal failure; obstetrics and gynaecology; urology.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
CT urogram: right hydronephrosis and hydroureter and absent left kidney.
Figure 2
Figure 2
Nephrostogram image 1: free passage of contrast, past previous point of obstruction.
Figure 3
Figure 3
Nephrostogram image 2: free passage of contrast, past previous point of obstruction, into the urinary bladder.
See this image and copyright information in PMC

References

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