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Related Experiment Videos

Ureteric obstruction due to sigmoid diverticulitis.

B I Rees, P M Bolton

    The British Journal of Surgery
    |March 1, 1975
    PubMed
    Summary

    Inflammatory diverticular masses can obstruct the ureter, mimicking cancer. Pre-operative intravenous pyelography is recommended to prevent ureteric injury during surgery for suspected diverticular masses.

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    Area of Science:

    • Urology
    • Gastroenterology
    • Surgical Oncology

    Background:

    • Diverticular masses can cause ureteral obstruction.
    • Distinguishing these masses from malignancy is clinically challenging.
    • Surgical intervention carries a risk of ureteric injury.

    Purpose of the Study:

    • To present cases of ureteral obstruction by inflammatory diverticular masses.
    • To highlight diagnostic and operative challenges.
    • To recommend a diagnostic approach to minimize ureteric injury.

    Main Methods:

    • Case report presentation.
    • Clinical and intraoperative assessment.
    • Review of diagnostic imaging.

    Main Results:

    • Two cases of ureteral obstruction due to inflammatory diverticular masses were identified.
    • Clinical and operative differentiation from carcinoma proved difficult.
    • Intravenous pyelography was identified as a key diagnostic tool.

    Conclusions:

    • Inflammatory diverticular masses pose a diagnostic challenge, mimicking malignancy.
    • Pre-operative intravenous pyelography is crucial for surgical planning.
    • This imaging modality helps prevent ureteric injury during resection of suspected diverticular masses.

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