Primary Squamous Carcinomatous Ureteric Stricture of a Solitary Kidney with Spontaneous Intraperitoneal Urinary Extravasation

Abstract

We report a very rare case of a carcinoma of the ureter occurring in association with contralateral renal agenesis. Owing to this association, the patient had a unique presentation with urinary ascites and anuria. He was initially managed by retrograde ureteral stenting and supportive measures for renal failure. Thereafter, once the renal parameters became normal, distal ureterectomy and Boari flap reconstruction were performed. Although most patients with ureteral tumours present with advanced disease, the disease was localized in our patient, as the absence of the contralateral kidney resulted in an early presentation.

Laparoscopic reconstruction of ureteral strictures involving solitary renal units-1 year and 5 year outcomes

“…Ureteral strictures (US) affecting solitary renal unit (SRU) are uncommonly encountered in clinical practice. [ 1 2 ] These patients require early definitive intervention with optimum restoration of ureteral patency to ensure renal salvage. In addition, these patients may present with deranged renal profile or report previous unsuccessful restorative attempts that may negatively impact the outcome following definitive reconstructions.…”