Development of anuria after appendectomy in a patient with a distal ureteral stone in a single kidney.
The development of anuria after appendectomy is usually related to complications associated with appendicitis or with the surgical sequelae of appendectomy. We report an unusual case of anuria after appendectomy in a 20-year-old woman. The patient was transferred to our hospital due to a sudden cessation of urine output just after appendectomy. We initially suspected that the anuria was caused by a complication of surgery. However, a review of her medical history and an abdominal computed tomography (CT) scan revealed that a distal ureteral stone in a single kidney had caused the anuria. There are few cases in the literature regarding a distal ureteral stone in a single kidney. This case indicates the importance of radiological evaluation in the differential diagnosis of acute appendicitis, especially in patients with unilateral renal agenesis.
Kwon
Jung-Hyun
JH
Department of Internal Medicine, Kangnam St. Mary's Hospital, 505 Banpo-dong, Seocho-gu, Seoul 137-040, Korea.
Hwang
Eun-Mi
EM
Choi
Bum-Soon
BS
Kim
Yong-Soo
YS
Bang
Byung-Kee
BK
Yang
Chul-Woo
CW
D058186:Acute Kidney Injury / Q000150:complications; D000328:Adult; D001002:Anuria / Q000209:etiology*; D001062:Appendectomy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014514:Ureteral Calculi / Q000150:complications*; D014567:Urography / Q000379:methods