Bilateral ureteral obstruction and renal failure due to a perforated appendix

Abstract

Bilateral ureteral obstruction secondary to appendicitis is rare. We here report a case in which the obstruction caused anuria and renal failure.

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

“…The development of acute renal failure after appendectomy is usually related to either a ureteral injury caused during appendectomy or a complication of appendicitis, such as pelvic inflammation,1 appendiceal abscess2 or trigonal edema 3. In this patient, we initially considered a surgical complication as the cause of acute renal failure because the urine output decreased so abruptly after surgery.…”

“…The development of bilateral ureteral obstruction after appendectomy is an uncommon but well recognized complication of appendicitis 1-3. The condition is usually caused by complications associated with appendicitis or with the surgical sequelae of appendectomy.…”