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CASE REPORT
Reflex anuria post-prophylactic bilateral ureteric catheterisation: a rare postoperative complication
  1. Yagazie Zina Udeaja1 and
  2. Selvi Radhika Vikram2
  1. 1 University College London Medical School, University College London, London, UK
  2. 2 Obstetrics and Gynaecology, Watford General Hospital, Watford, UK
  1. Correspondence to Dr Yagazie Zina Udeaja, yagazie.udeaja.12{at}ucl.ac.uk

Abstract

We highlight the case of a woman who had elective gynaecological surgery with bilateral prophylactic ureteric catheterisation, indicated for the excision of a mucinous cystadenoma arising from the right ovary. Surgery was successful with no intraoperative complications. Anuria and subsequent acute kidney injury developed within 12 hours of surgery. A CT of the kidneys, ureters and bladder revealed mild bilateral hydronephrosis and perinephric stranding surrounding the left kidney with no discernible injury to the lower urinary tract. Further investigation did not reveal a clear cause for her anuric state. Management involved aggressive renal support, rigid cystoscopy and bilateral ureteric stenting. Diuresis and a prompt improvement in renal function ensued with no further complications. She was discharged a week after her initial operation, with a 6-week review for stent removal. We believe this to be a rare instance of reflex anuria due to ureteric spasm and encourage consideration of ureteric stenting as part of subsequent management.

  • obstetrics and gynaecology
  • radiology
  • interventional radiology
  • acute renal failure

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Footnotes

  • Contributors The authors have equally contributed to the planning and submission of this case report. YZU is the guarantor for this case report and was involved in the write-up and preparation for submission. SRV was the lead consultant in charge of the patient’s care and was involved in obtaining patient consent, acquiring the radiological imaging and editing of the manuscript for submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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