Lumbar ureteral shunt--an unusual cause of ureteral obstruction.
In a neurosurgical patient with a lumbar ureteral shunt in place for many years ureteral obstruction and hydronephrosis developed. The shunt tubing was removed surgically from the ureter leaving a portion of the shunt in the subarachnoid space without sequelae. Historically, most patients undergoing this type procedure had an ipsilateral nephrectomy performed at the time of shunt placement; however, this patient did not. It is important to be aware of this "antique" procedure as it may cause urologic complications.
Kelly
J H
JH
Section of Urology, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina.
McCullough
D L
DL
Harrison
L H
LH
D000328:Adult; D002557:Cerebrospinal Fluid Shunts / Q000009:adverse effects*; D005547:Foreign Bodies; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology*; D013346:Subarachnoid Space; D014513:Ureter; D014517:Ureteral Obstruction / Q000209:etiology*