Smeoui Walid, Samet Ahmed, Touaiti Talel, Rebai Nouri, Bouzouita Abderrazek, Hadjslimène Mourad
Department of urology, Habib BOURGUIBA Academic Medical Center, University of Sfax, 3029, Sfax, Tunisia.
Department of urology, Charles-NICOLLE Academic Medical Center, University of Tunis Elmanar, 1068, Tunis, Tunisia.
Urol Case Rep. 2019 Oct 17;28:101049. doi: 10.1016/j.eucr.2019.101049. eCollection 2020 Jan.
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.
一名52岁男性，既往因无功能肾行右肾切除术，22年后因发热伴右下腹疼痛前来咨询。随后进行了手术探查，整块切除了右输尿管残端。右输尿管切除标本的病理检查显示，由于结石导致严重的急慢性输尿管炎，无任何恶性迹象。鉴于输尿管残端相关并发症的发生率较低，我们建议，如果输尿管残余出现症状，应立即进行远端输尿管切除术，以避免残端随后出现并发症。
