Yonsei Med J.  2007 Feb;48(1):139-141. 10.3349/ymj.2007.48.1.139.

Development of Anuria after Appendectomy in a Patient with a Distal Ureteral Stone in a Single Kidney

Affiliations
  • 1Department of Internal Medicine, Kangnam St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. yangch@catholic.ac.kr

Abstract

The development of anuria after appendectomy is usually related to complications associated with appendicitis or with the surgical sequelae of appendectomy. We report an unusual case of anuria after appendectomy in a 20-year-old woman. The patient was transferred to our hospital due to a sudden cessation of urine output just after appendectomy. We initially suspected that the anuria was caused by a complication of surgery. However, a review of her medical history and an abdominal computed tomography (CT) scan revealed that a distal ureteral stone in a single kidney had caused the anuria. There are few cases in the literature regarding a distal ureteral stone in a single kidney. This case indicates the importance of radiological evaluation in the differential diagnosis of acute appendicitis, especially in patients with unilateral renal agenesis.

Keyword

Appendicitis; acute renal failure; single kidney

Figure

  • Fig. 1 Abdominal ultrasonography showed a dilated renal pelvis and ureter.

  • Fig. 2 Non-enhanced abdominal computed tomography. Note the hydroureter of right kidney (*), absence of left kidney (A), and a calcified stone (arrow) at the ureterovesical junction (B).

  • Fig. 3 Follow-up excretory urography shows a persistent hydroureter (A) and a distal ureteral stricture (B). Arrows indicate the distal ureteral stricture. Note the absence of a left kidney and ureter.


Reference

1. Buckley K, Buonomo C. Bilateral ureteral obstruction and renal failure due to a perforated appendix. Pediatr Radiol. 1994. 24:308–309.
2. Green JT, Pham HT, Hollowell CP, Krongrad A. Bilateral ureteral obstruction after asymptomatic appendicitis. J Urol. 1997. 157:2251.
3. Aronson DC, Moorman-Voestermans CG, Tiel-van Buul MM, Vos A. A rare complication of acute appendicitis: complete bilateral distal ureteral obstruction. Lancet. 1994. 344:99–100.
4. Bauer SB. Walsh PC, editor. Anomalies of the upper urinary tract. Campbell's urology. 2002. 8th ed. Philadelphia, PA: Saunders;1885–1924.
5. Ashley DJ, Mostofi FK. Renal agenesis and dysgenesis. J Urol. 1960. 83:211–230.
6. Jones K, Pena AA, Dunn EL, Nadalo L, Mangram AJ. Are negative appendectomies still acceptable? Am J Surg. 2004. 188:748–754.
Full Text Links
  • YMJ
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr