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Obstructive uropathy after pan-proctocolectomy for ulcerative colitis

M C Wilson, A R Berry, T J McNair

|September 1, 1980

Summary

Pan-proctocolectomy for ulcerative colitis can lead to obstructive uropathy mimicking retroperitoneal fibrosis. This rare complication, occurring in about 10% of patients, requires consideration in post-operative care.

Area of Science:

Gastroenterology
Urology
Surgical Complications

Background:

Ulcerative colitis is a chronic inflammatory bowel disease.
Pan-proctocolectomy is a surgical procedure involving the removal of the entire colon and rectum.
Postoperative complications require careful monitoring and diagnosis.

Observation:

Two patients who underwent pan-proctocolectomy for ulcerative colitis developed obstructive uropathy.
The uropathy presented with clinical and radiological features consistent with retroperitoneal fibrosis.
This complication was observed some time after the surgical procedure.

Findings:

The incidence of obstructive uropathy post-pan-proctocolectomy for ulcerative colitis is estimated to be around 10%.
Retroperitoneal fibrosis is a potential, albeit uncommon, sequela of this surgery.

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Non-specific symptoms in patients following this surgery may indicate this complication.

Implications:

Clinicians should consider obstructive uropathy with retroperitoneal fibrosis in patients with non-specific symptoms after pan-proctocolectomy for ulcerative colitis.
Early diagnosis and management are crucial for favorable patient outcomes.
Further research may elucidate the exact mechanism linking this surgery to retroperitoneal fibrosis.