Lumbar ureteral shunt-an unusual cause of ureteral obstruction

Kelly, Johnson H.; McCullough, David L.; Harrison, Lloyd H.

doi:10.1016/0090-4295(89)90272-0

Cited by 5 publications

(2 citation statements)

References 2 publications

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“…It should be mentioned that it is not known if radiopaque material were designed into shunts used in the 1940s to 1960s. Silicon rubber shunts have been reported to calcify and cause obstruction, 13 possibly making them radiopaque in the process. Nonetheless, the authors’ prediction that the lumboureteral shunt was a ureterodural anastomosis due to its radiolucency and to the patient’s clinical presentation was ultimately proven correct.…”

Section: Discussionmentioning

confidence: 99%

“…7 Long-term complications include syringomyelia 8 and retrograde meningitis 9 due to urinary tract infections. 5 , 10 Three documented shunt types have been used to decompress the cerebrospinal system via the genitourinary system: valveless polyethylene catheter, 3 , 8 , 11 silicone rubber catheter, 12 , 13 and a ureterodural anastomosis. 1 , 14 , 15 Of the 3 types, ureterodural anastomosis may be invisible on routine imaging techniques.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Case of Recurrent Bacterial Meningitis Due to Retained 54-Year-Old Ureterodural Anastomosis

D’Assumpcao

Sandhu

Heidari

et al. 2018

Journal of Investigative Medicine High Impact Case Reports

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Ventriculoperitoneal shunts are the current treatment of choice for congenital hydrocephalus. It is rare for physicians to see patients with alternative types of shunting devices. Lumboureteral shunts, once popular from the 1940s to 1960s, decompress via the genitourinary system. Immediate complications were dehydration, electrolyte imbalances, infection, and the sacrifice of a functional kidney. Long-term complications include retrograde meningitis due to urinary tract infections. Three shunt types have been documented: polyethylene, silicone rubber, and ureterodural anastomosis. Routine imaging cannot detect a ureterodural anastomosis, and if suspected, computed tomography myelogram is needed for confirmation. This article presents the case of a man with long-standing ureterodural anastomosis that required ligation after recurrent episodes of acute meningitis secondary to urinary retention.

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Section: Discussionmentioning

confidence: 99%