Peri-Ureteral Abscess Formation Following Ureteroscopic Laser Lithotripsy: A Case Report
Erik Jon Hammond1, Vincent Grekoski1, Amit Boukai1
1Emergency Medicine, Aventura Hospital and Medical Center, Miami, USA.
Cureus
|October 19, 2022
Summary
A rare case of peri-ureteral abscess, deep vein thrombosis, and pulmonary embolism occurred after ureteroscopy with laser lithotripsy and ureteral stenting. Prompt recognition and treatment are crucial for patient survival.
Area of Science:
- Urology
- Interventional Radiology
- Nephrology
Background:
- Obstructive renal calculus disease necessitates invasive procedures like ureteroscopy with laser lithotripsy and ureteral stenting.
- Adverse reactions to these urologic interventions are typically rare.
Observation:
- A patient developed a peri-ureteral abscess post-ureteral stent removal, requiring percutaneous drainage and re-stenting.
- The patient also experienced deep vein thrombosis (DVT) and subsegmental pulmonary embolism (PE).
Findings:
- This case represents the first documented instance of peri-ureteral abscess following ureteroscopic laser lithotripsy or ureteral stenting.
- Deep vein thrombosis and pulmonary embolism are also uncommon complications associated with these procedures.
Implications:
- The rising incidence of complications may be linked to increased access to invasive therapies and higher rates of diabetes and obesity.
- Prompt diagnosis and management, including broad-spectrum antibiotics and specialist consultation, are vital for improving survivability.
- This case highlights the importance of vigilance for rare but serious complications after urologic procedures.
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