Urology Case Reports (Mar 2015)

Bilateral Ureteral Obstruction and Acute Renal Failure in Spite of Prior Ureteral Catheterization in Radical Hysterectomy

  • Masaaki Fujimura,
  • Nobuyuki Sekita,
  • Shinichi Sakamoto,
  • Hiroaki Sato,
  • Hiroyoshi Suzuki,
  • Kazuo Mikami

DOI
https://doi.org/10.1016/j.eucr.2015.01.003
Journal volume & issue
Vol. 3, no. 2
pp. 47 – 49

Abstract

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We present an extremely rare case of acute renal failure following radical hysterectomy although we inserted ureteral catheter bilaterally. A 76-year old female received bilateral ureteral catheterization prior to operation. Just after operation oliguria was admitted and serum creatinine level increased to 3.6 mg/dL. An abdominal computed tomography (CT) revealed bilateral hydronephrosis. From soon after exchange to double J catheter large amount of urine was collected and the level of creatinine normalized 2 days later. The shape of J catheter may be more effective than open-end catheter because it has multiple side hole and can ensure urinary drainage.

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