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Obstructive uropathy after pan-proctocolectomy for ulcerative colitis

M C Wilson, A R Berry, T J McNair

    Gut
    |September 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

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    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.

    Related Experiment Videos

  • 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.