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Bilateral ureteral obstruction after appendectomy in children
C A Hugen1, P F Mulders, L A Monnens
1Department of Paediatrics, Academic Hospital Nijmegen, The Netherlands.
Journal of Pediatric Surgery
|December 1, 1995
Summary
Severe appendicitis can lead to bilateral ureteral obstruction in boys after appendectomy due to bladder wall edema. Prompt ureteral catheterization is crucial to prevent irreversible kidney damage.
Area of Science:
- Pediatric Surgery
- Urology
- Gastroenterology
Background:
- Appendicectomy is a common surgical procedure.
- Severe appendicitis can lead to complications.
- Post-operative urinary tract issues are rare but serious.
Observation:
- Five pediatric cases of bilateral ureteral obstruction post-appendicectomy were identified.
- Patients presented with symptoms following severe appendicitis.
- Edema of the posterior bladder wall was observed via urethrocystoscopy.
Findings:
- Bladder wall edema caused obstruction of both distal ureters.
- Renal function improved immediately after bilateral ureteral catheter placement.
- Ultrasound showed only mild to moderate urinary tract dilation.
Implications:
- Awareness of this rare complication is vital for surgeons.
- Early diagnosis and intervention with ureteral catheters can prevent renal damage.
- Understanding the pathophysiology may improve patient outcomes.