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Post appendectomy acalculus bilateral ureteric obstruction: a rare entity in children
Vipul Gupta1, Sunil Kumar Yadav, Abdulnaser Al Said
1Department of Pediatric Surgery and Urology, IBN Sina Hospital, Sabah Medical Region, State of Kuwait.
African Journal of Paediatric Surgery : AJPS
|January 29, 2014
Summary
Acute appendicitis can rarely cause bilateral ureteric obstruction in children due to bladder inflammation. Prompt treatment with ureteric stenting led to full recovery in both pediatric cases.
Area of Science:
- Pediatric Urology
- Gastroenterology
- Inflammatory Responses
Background:
- Acute appendicitis is a common surgical emergency in children.
- Ureteric obstruction is a known complication, but typically associated with other causes.
- Acalculus ureteric obstruction secondary to appendicitis is exceptionally rare.
Observation:
- Two pediatric patients (aged 6 and 11) presented with anuria.
- Clinical features suggested bilateral ureteric obstruction.
- Imaging and endoscopic evaluations were performed.
Findings:
- Bilateral ureteric obstruction was confirmed in both patients.
- The obstruction was attributed to bladder wall edema, an inflammatory reaction to acute appendicitis.
- No gallstones (calculus) were involved in the ureteric obstruction.
Implications:
- This case series highlights a rare but serious complication of acute appendicitis in children.
- Early diagnosis and intervention, such as ureteric stenting, are crucial for favorable outcomes.
- Understanding this inflammatory pathway may inform management of similar rare presentations.
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