Ureteral stump empyema with calculi

Abstract

A 52-year-old man with a history of right nephrectomy for a nonfunctioning kidney, consults after 22 years for fever with right lower abdominal pain. Surgical exploration was thereafter performed and the right ureteral stump was removed en bloc. Pathological examination of the right ureterectomy specimen revealed a significant acute and chronic ureteritis due to stone without any signs of malignancy. Owing to the low incidence of complications associated with ureteral stump, we suggest that if ureteral remnant becomes symptomatic, a distal ureterectomy should be performed without any delay avoiding subsequent complications of the stump.

Three rare etiologies of urinary retention in pediatrics: A case series and review of the literature

“…Nevertheless, the remaining ureteral stump in partial ureterectomy can cause complications. The most common complications related to the ureteral stump are UTI, empyema with or without calculi, pain, hematuria, malignant transformation, and fungal peritonitis 6,7,63–68 …”

“…The most common complications related to the ureteral stump are UTI, empyema with or without calculi, pain, hematuria, malignant transformation, and fungal peritonitis. 6,7,[63][64][65][66][67][68] Different approaches for the management of symptomatic ureteral stumps have been introduced. While open and laparoscopic surgeries for stump removal are widely practiced, 6,64,65,69 some authors have also reported less invasive approaches.…”

Recurrent Paravaginal Abscess: An Unusual Presentation of a Distal Ectopic Ureteral Remnant

“… 11 Few case reports have described empyema of a ureteral stump; however, no cases describe abscessed or empyema of an ectopic ureter to the vagina. 11 , 12 The typical treatment of a symptomatic ureteral stump is surgical, either by excision or electrofulguration, which is the treatment course pursued for this patient. 13 , 14 …”