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Ureteral obstruction caused by a thromboembolic infarct
M Davia1, A Borczuk, B Bennett
1Department of Urology, Albert Einstein College of Medicine, Bronx, New York.
The Journal of Urology
|February 1, 1995
Summary
A healed fibrotic ureteral infarct, caused by blood clots blocking blood supply, resulted in a ureteral obstruction. This case highlights vascular occlusion as a cause of ureteral defects.
Area of Science:
- Urology
- Nephrology
- Vascular Medicine
Background:
- Ureteral obstruction can arise from various causes, including intrinsic and extrinsic factors.
- Vascular pathologies affecting the ureter are less commonly reported but can lead to significant renal complications.
Observation:
- A case report detailing a healed fibrotic ureteral infarct secondary to vascular occlusion.
- The infarct presented as a ureteral filling defect on imaging.
- The underlying cause was identified as thromboemboli leading to vascular occlusion.
Findings:
- The fibrotic changes indicate a chronic or resolved process of ureteral infarction.
- The vascular occlusion by thromboemboli successfully explained the observed ureteral filling defect.
- The obstruction resolved or was managed, leading to a healed state.
Implications:
- This case underscores the importance of considering vascular events, such as thromboembolism, in the differential diagnosis of ureteral obstruction.
- Understanding the sequelae of ureteral infarction, including fibrotic changes, is crucial for patient management.
- Further research into the incidence and management of vascular-induced ureteral pathology may be warranted.