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Case Reports in Surgery
Volume 2015, Article ID 740795, 3 pages
http://dx.doi.org/10.1155/2015/740795
Case Report

Bilateral Ureteral Obstruction in Children after Appendectomy

1Department of Experimental Science and Surgery, Policlinico “Tor Vergata”, Viale Oxford, 00100 Rome, Italy
2Department of Urology, Policlinico “Tor Vergata”, Viale Oxford, 00100 Rome, Italy
3Department of Prevention and Biomedicine, Policlinico “Tor Vergata”, Viale Oxford, 00100 Rome, Italy

Received 11 May 2015; Revised 24 June 2015; Accepted 2 July 2015

Academic Editor: Boris Kirshtein

Copyright © 2015 M. Grande et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Acute renal failure due to bilateral ureteral obstruction is a rare complication after appendectomy in children. We report a case of bilateral ureteric obstruction in a 14-year-old boy nine days after surgery for an acute appendicitis. After saline-filling of the urinary bladder, transabdominal ultrasound demonstrated bilateral hydronephrosis of moderate degree. No abscess was found with CT but presence of millimetric stones on both distal ureters was shown, with bilateral calyceal dilatation. Cystoscopy revealed inflammatory changes in the bladder base. Following introduction of bilateral ureteric stents, there was rapid normalisation of urinary output and serum creatinine.