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Bilateral Ureteral Obstruction in Children With Ulcerative Colitis and Oliguria: When and Why?
Maria Florou1, Christos Diamantopoulos2, Kleanthis Anastasiadis3
1Department of Pediatric Surgery, Aristotle University of Thessaloniki, Papageorgiou General Hospital of Thessaloniki, Thessaloniki, GRC.
Insights
Bilateral ureteral obstruction is a rare complication in pediatric ulcerative colitis (UC). This case highlights the importance of recognizing obstructive uropathy in UC patients experiencing sudden urinary issues to prevent kidney damage.
Area of Science:
- Gastroenterology
- Urology
- Pediatrics
Background:
- Inflammatory bowel disease (IBD) encompasses various extraintestinal manifestations, including urinary tract issues.
- Bilateral ureteral obstruction is an exceptionally rare presentation in pediatric patients with IBD.
Abstract:
Inflammatory bowel disease (IBD) is an inflammatory clinical entity with many extraintestinal symptoms, including urinary tract manifestations. However, the bilateral ureteral obstruction is extremely rare. We report a case of bilateral ureteral obstruction in a 12-year-old male patient with ulcerative colitis (UC). Ultrasonography in the context of sudden anuria revealed bilateral ureterovesical junction (UVJ) obstruction, and the following cystoscopy verified the presence of fragile calculi in both edematous ureteral orifices. The literature data on UC in the pediatric population are scarce. Sudden deteriorating oliguria in an UC patient may result from secondary obstructive uropathy. Immediate diagnosis and treatment are essential to prevent acute kidney injury.
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