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Related Experiment Videos

[Acute renal failure following rectosigmoidoscopy].

S Holz1, J Moyson, B Henriet

  • 1Service d'urologie, hôpital Erasme-ULB, cliniques universitaires de Bruxelles, 808, route de Lennik, 1070 Bruxelles, Belgique. serge.holz@ulb.ac.be

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|March 1, 2013
PubMed
Summary
This summary is machine-generated.

A young man with a history of vesical extrophy and ureterosigmoidostomy developed acute renal failure after polyp resection. Successful endo-ureteral dilatation resolved the ureterosigmoid junction stricture, preventing further kidney damage.

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Area of Science:

  • Urology
  • Nephrology
  • Surgical Complications

Background:

  • A 24-year-old male with a history of childhood vesical extrophy and ureterosigmoidostomy presented with acute flank pain and renal failure.
  • Symptoms began post-endoscopic resection of a sigmoid polyp, suggesting a potential iatrogenic complication.

Observation:

  • Intravenous urography revealed a critical stricture at the ureterosigmoid junction.
  • This obstruction led to acute hydronephrosis and subsequent acute kidney injury.

Findings:

  • Conservative management utilizing endo-ureteral dilatation proved effective in treating the ureterosigmoid junction stricture.
  • The patient remained asymptomatic with no residual hydronephrosis at a 2-year follow-up.

Implications:

  • Endo-ureteral dilatation is a viable conservative treatment for ureterosigmoid junction strictures.
  • This case highlights the importance of monitoring renal function in patients with prior urinary diversion surgery after endoscopic procedures.
  • Prompt diagnosis and intervention can prevent long-term renal sequelae in complex urological cases.