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Case Reports
. 2023 Sep 18;16(9):e255126.
doi: 10.1136/bcr-2023-255126.

Endourological management of ureteric stump syndrome

Nikita Shrivastava  1 , Priyank Bhargava  2 , Gautam Ram Choudhary  1
Affiliations
Case Reports

Endourological management of ureteric stump syndrome

Nikita Shrivastava et al. BMJ Case Rep. .

Abstract

A man in his 50s presented with right flank pain and intermittent haematuria for 15 days. He was evaluated and diagnosed to have bilateral staghorn renal calculi with left poorly functioning kidney. He underwent right kidney stone clearance followed by laparoscopic left simple nephrectomy. Postoperatively, he developed recurrent urinary tract infections. On evaluation, non-contrast CT of the abdomen revealed calculus in left ureteral stump and he was diagnosed to have ureteric stump syndrome. He underwent ureteroscopy which revealed multiple stump calculi and complete stone clearance was achieved. Currently, the patient is asymptomatic and doing well after a follow-up of 1 year.

Keywords: Hematuria; Urinary tract infections; Urological surgery.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Axial (A), coronal (B) and sagittal (C) sections of non-contrast CT scan of the patient showing a small stone fragment in the left ureteric stump.
Figure 2
Figure 2
VCUG image showing no reflux into either ureter. VCUG, voiding cystourethrography.
Figure 3
Figure 3
Ureteric stump syndrome—aetiology and manifestations. LUTS, lower urinary tract symptoms; UTIs, urinary tract infections.
See this image and copyright information in PMC

References

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