Bilateral moderate hydroureteronephrosis due to uterine prolapse: two case reports and review of the literature.
Uterine prolapse resulting in hydronephrosis was uncommon. We report two cases of complete uterine prolapse and bilateral moderate hydronephrosis. Case 1, she was admitted due to fever with pyuria. Uterine prolapse was noted by incidental finding. Urine culture showed Escherichia coli. She received total vaginal hysterectomy, which corrected the obstruction and bladder dysfunction. Case 2, she had a history of liver cirrhosis and was denied further operation due to bleeding tendency. Renal echo and intravenous pyelography showed bilateral moderate hydronephrosis with hydroureter in the two cases. Normal renal function was found in the two cases. We suggest early diagnosis and management are necessary in order to prevent renal failure and urinary tract infection.
Division of Nephrology, Chang Gung Memorial Hospital at Chiayi, Chiayi, Taiwan.
Feng-Rong
FR
Chuang
Chih-Hsiung
CH
Lee
Chih-Shou
CS
Chen
Hsu-Huei
HH
Weng
I-Kuan
IK
Wang
D000368:Aged; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology* / Q000601:surgery; D007044:Hysterectomy / Q000379:methods; D008103:Liver Cirrhosis / Q000150:complications; D008875:Middle Aged; D014517:Ureteral Obstruction / Q000209:etiology* / Q000601:surgery; D014596:Uterine Prolapse / Q000150:complications* / Q000601:surgery