Absent Ureteral Efflux after Hysterectomy Leads to Diagnosis of Ureteral Atresia with Renal Atrophy
Iatrogenic injury to the urinary system is a known complication of gynecologic surgery; therefore, intraoperative cystoscopy is frequently performed to assess for such injuries. However, if an abnormality is seen, the differential diagnosis extends beyond iatrogenic causes. A 42-year-old patient und...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2020/9214613 |
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| author | Olga Mutter Ekaterina Grebenyuk Arleen Ayala-Crespo Kevin Yang |
| author_facet | Olga Mutter Ekaterina Grebenyuk Arleen Ayala-Crespo Kevin Yang |
| author_sort | Olga Mutter |
| collection | DOAJ |
| description | Iatrogenic injury to the urinary system is a known complication of gynecologic surgery; therefore, intraoperative cystoscopy is frequently performed to assess for such injuries. However, if an abnormality is seen, the differential diagnosis extends beyond iatrogenic causes. A 42-year-old patient underwent a total abdominal hysterectomy and had absent efflux from the right ureteral orifice on cystoscopy. While iatrogenic injury was initially suspected, the intraoperative workup (including intravenous pyelography (IVP)) that ensued led to an empiric diagnosis of right ureteral atresia with ipsilateral renal atrophy that was then confirmed on postoperative imaging. When an abnormality is seen on cystoscopy following gynecologic surgery, it is important to maintain a broad differential diagnosis and to pursue an intraoperative workup with early involvement and close collaboration with urology. |
| format | Article |
| id | doaj-art-4d8e9ee3ddb14bc1bae10760be939657 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-4d8e9ee3ddb14bc1bae10760be9396572025-02-03T06:06:45ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922020-01-01202010.1155/2020/92146139214613Absent Ureteral Efflux after Hysterectomy Leads to Diagnosis of Ureteral Atresia with Renal AtrophyOlga Mutter0Ekaterina Grebenyuk1Arleen Ayala-Crespo2Kevin Yang3Department of Obstetrics, Gynecology, & Reproductive Sciences, Lewis Katz School of Medicine at Temple University, Temple University Hospital, 3401 N. Broad St, Philadelphia, PA 19140, USALewis Katz School of Medicine at Temple University, Temple University Hospital, 3401 N. Broad St, Philadelphia, PA 19140, USADepartment of Obstetrics, Gynecology, & Reproductive Sciences, Lewis Katz School of Medicine at Temple University, Temple University Hospital, 3401 N. Broad St, Philadelphia, PA 19140, USADepartment of Urology, Lewis Katz School of Medicine at Temple University, Temple University Hospital, 3401 N. Broad St, Philadelphia, PA 19140, USAIatrogenic injury to the urinary system is a known complication of gynecologic surgery; therefore, intraoperative cystoscopy is frequently performed to assess for such injuries. However, if an abnormality is seen, the differential diagnosis extends beyond iatrogenic causes. A 42-year-old patient underwent a total abdominal hysterectomy and had absent efflux from the right ureteral orifice on cystoscopy. While iatrogenic injury was initially suspected, the intraoperative workup (including intravenous pyelography (IVP)) that ensued led to an empiric diagnosis of right ureteral atresia with ipsilateral renal atrophy that was then confirmed on postoperative imaging. When an abnormality is seen on cystoscopy following gynecologic surgery, it is important to maintain a broad differential diagnosis and to pursue an intraoperative workup with early involvement and close collaboration with urology.http://dx.doi.org/10.1155/2020/9214613 |
| spellingShingle | Olga Mutter Ekaterina Grebenyuk Arleen Ayala-Crespo Kevin Yang Absent Ureteral Efflux after Hysterectomy Leads to Diagnosis of Ureteral Atresia with Renal Atrophy Case Reports in Obstetrics and Gynecology |
| title | Absent Ureteral Efflux after Hysterectomy Leads to Diagnosis of Ureteral Atresia with Renal Atrophy |
| title_full | Absent Ureteral Efflux after Hysterectomy Leads to Diagnosis of Ureteral Atresia with Renal Atrophy |
| title_fullStr | Absent Ureteral Efflux after Hysterectomy Leads to Diagnosis of Ureteral Atresia with Renal Atrophy |
| title_full_unstemmed | Absent Ureteral Efflux after Hysterectomy Leads to Diagnosis of Ureteral Atresia with Renal Atrophy |
| title_short | Absent Ureteral Efflux after Hysterectomy Leads to Diagnosis of Ureteral Atresia with Renal Atrophy |
| title_sort | absent ureteral efflux after hysterectomy leads to diagnosis of ureteral atresia with renal atrophy |
| url | http://dx.doi.org/10.1155/2020/9214613 |
| work_keys_str_mv | AT olgamutter absentureteraleffluxafterhysterectomyleadstodiagnosisofureteralatresiawithrenalatrophy AT ekaterinagrebenyuk absentureteraleffluxafterhysterectomyleadstodiagnosisofureteralatresiawithrenalatrophy AT arleenayalacrespo absentureteraleffluxafterhysterectomyleadstodiagnosisofureteralatresiawithrenalatrophy AT kevinyang absentureteraleffluxafterhysterectomyleadstodiagnosisofureteralatresiawithrenalatrophy |