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[Bilateral ureteral stenosis after pancreatitis]
F Hakami1, N Daher, G Tourneur
1Service d'Urologie, Hôpital Sud, Amiens.
Summary
This study details a rare case of bilateral ureteric stenosis caused by acute alcoholic pancreatitis. The condition involved fibrosis and calcifications, leading to severe urinary obstruction.
Area of Science:
- Urology
- Gastroenterology
- Pathology
Background:
- Acute alcoholic pancreatitis is a serious condition with various potential complications.
- Ureteric stenosis, a narrowing of the ureters, is an uncommon complication of pancreatitis.
- Literature review reveals limited cases of pancreatitis-induced ureteric stenosis.
Observation:
- A rare case of bilateral ureteric stenosis secondary to acute alcoholic pancreatitis is presented.
- The stenosis was characterized by fibrotic changes and calcifications in the ureters.
- Necrotic infiltration associated with pancreatitis contributed to the ureteric obstruction.
Findings:
- The right ureter showed fibrotic stenosis with calcified incrustations.
- The left ureter presented with massive obstructive calculi causing stenosis.
- This represents one of only two reported cases of bilateral ureteric stenosis complicating pancreatitis.
Implications:
- Highlights the potential for severe urinary tract complications from acute alcoholic pancreatitis.
- Suggests the need for heightened awareness and diagnostic vigilance in pancreatitis patients with urinary symptoms.
- Underscores the rarity and diverse etiologies of ureteric stenosis.