Ureterosigmoidostomy and obstructive uropathy Journal Article
| Authors: | Yossepowitch, O.; Baniel, J. |
| Article Title: | Ureterosigmoidostomy and obstructive uropathy |
| Abstract: | Background: A 19-year-old mentally retarded man with failed exstrophy repair and ureterosigmoidostomy urinary diversion presented with high fever, vomiting and right-flank pain of 2 days' duration. Past medical history was notable for a left nephrectomy to treat an infected staghorn calculus in a poorly functioning kidney. Physical examination revealed pyrexia and right-flank tenderness. Investigations: Physical examination, renal function tests, electrolyte and metabolic assessment, urine and blood cultures, abdominal CT, ANTEGRADE PYELOURETEROGRAPHY, sigmoidoscopy and histopathology. Diagnosis: Ureterosigmoidostomy complicated by acute pyelonephritis, obstructive uropathy, recurrent urinary tract infections, renal impairment and the development of renal stones and metabolic acidosis. Management: Fluids, intravenous antibiotics, bicarbonate and potassium supplementation, and rediversion of ureterosigmoidostomy to an ileal conduit. © 2005 Nature Publishing Group. |
| Keywords: | adult; treatment outcome; antibiotic agent; clinical feature; case report; cancer risk; follow up; computer assisted tomography; fluid therapy; kidney failure; risk factor; nephrectomy; postoperative complication; colonoscopy; urinary diversion; urinary tract infection; ureterostomy; recurrent disease; surgical drainage; glucose; physical examination; intestine cancer; metabolic disorder; sodium chloride; patient counseling; potassium; urine volume; ureteroscopy; intestine anastomosis; pyelonephritis; urinary tract infections; metabolic disorders; percutaneous nephrostomy; ureteral obstruction; colon, sigmoid; bicarbonate; kidney diseases; ileal conduit; ureterosigmoidostomy; cuff; colon malignancy; postobstructive diuresis; citrate potassium sodium; bladder exstrophy; hydroureter; obstructive uropathy; staghorn stone; ureteroureterostomy |
| Journal Title: | Nature Clinical Practice Urology |
| Volume: | 2 |
| Issue: | 10 |
| ISSN: | 1743-4270 |
| Publisher: | Nature Publishing Group |
| Date Published: | 2005-10-01 |
| Start Page: | 511 |
| End Page: | 515 |
| Language: | English |
| DOI: | 10.1038/ncpuro0302 |
| PUBMED: | 16474625 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 2" - "Export Date: 24 October 2012" - "Source: Scopus" |
