Bilateral ureteric obstruction following vaginal hysterectomy: oedema of the bladder can be a rare cause.
Known causes of bilateral ureteric obstruction following vaginal hysterectomy and vaginal wall repair are accidental bilateral ureteric ligation and kinking of the ureters. A case of bilateral ureteral obstruction due to bladder wall oedema is presented. A cause for this extreme oedematous reaction was not found. Post-renal obstruction does not necessarily result in dilatation of the ureters, therefore ultrasound cannot always be used to exclude a post-renal obstruction.
Timmerhuis
O A
OA
Department of Obstetrics and Gynecology, Medisch Spectrum Twente, Enschede, Netherlands.
van Doorn
G A
GA
D000368:Aged; D004487:Edema / Q000150:complications*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D014517:Ureteral Obstruction / Q000175:diagnosis / Q000209:etiology*; D001745:Urinary Bladder Diseases / Q000150:complications*