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Hydronephrosis caused by intra-abdominal abscess from cecal perforation by an ingested fish bone
Takeshi Ishimura1, Atsushi Takenaka, Yutaka Sakai
1Department of Urology, Kawasaki Medical School, Kurashiki, Okayama, Japan. stonevil@mac.com
Summary
A fish bone caused a cecal perforation, leading to an abscess and ureteral obstruction. Treatment involved ureteral stenting, abscess drainage, and surgery, with stenting needed for six months to ensure ureteral patency.
Area of Science:
- Gastroenterology
- Urology
- Surgical Case Report
Background:
- Intra-abdominal abscesses can cause significant complications.
- Cecal perforation is a rare but serious condition.
- Ureteral obstruction can arise from various intra-abdominal pathologies.
Observation:
- A patient presented with hydronephrosis secondary to an intra-abdominal abscess.
- The abscess originated from a cecal perforation caused by an ingested fish bone.
- This represents a unique etiology for ureteral obstruction.
Findings:
- The patient underwent successful ureteral stenting, abscess drainage, and ileocecal resection.
- A six-month duration of ureteral stenting was necessary to achieve sustained ureteral patency.
- No prior reports document fish bone-induced cecal perforation causing ureteral obstruction.
Implications:
- Highlights the potential for foreign bodies to cause severe gastrointestinal and urological complications.
- Demonstrates the efficacy of a multi-modal treatment approach for complex ureteral obstruction.
- Underscores the importance of considering unusual etiologies in challenging clinical presentations.
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