Abstract
Empyema of the ureteral stump following a nephrectomy is a rare disease. We report on two cases of ureteral stump empyema in female patients who presented with a cystic mass in the pelvic cavity and a past history of a nephrectomy. CT and radiological findings indicated that the cystic lesion was a ureteral stump lesion, and was surgically proven as ureteral stump empyema in both cases.
References
1. Malek RS, Moghaddam A, Furlow WL, Greene LF. Symptomatic ureteral stumps. J Urol. 1971. 106:521–528.
2. Pollack HM, Banner MP, Popky GL. Radiologic evaluation of the ureteral stump. Radiology. 1982. 144:225–230.
3. Ikeda D, Matsutani R, Fukuda M, Fuse H, Hirano S. Transurethral fulguration for empyema of ectopic ureteral stump. Int J Urol. 2003. 10:664–666.
4. Burghele T, Ioanid CP, Gălesanu M. Incidence and complications of ureteral stump pathology. Int Urol Nephrol. 1979. 11:169–172.
5. De Caluwé D, Chertin B, Puri P. Long-term outcome of the retained ureteral stump after lower pole heminephrectomy in duplex kidneys. Eur Urol. 2002. 42:63–66.
6. Mor Y, Mouriquand PD, Quimby GF, Soonawalla PF, Zaidi SZ, Duffy PG, et al. Lower pole heminephrectomy: its role in treating nonfunctioning lower pole segments. J Urol. 1996. 156:683–685.
7. Cain MP, Pope JC, Casale AJ, Adams MC, Keating MA, Rink RC. Natural history of refluxing distal ureteral stumps after nephrectomy and partial ureterectomy for vesicoureteral reflux. J Urol. 1998. 160:1026–1027.
8. Androulakakis PA, Stephanidis A, Antoniou A, Christophoridis C. Outcome of the distal ureteric stump after (hemi) nephrectomy and subtotal ureterectomy for reflux or obstruction. BJU Int. 2001. 88:586–589.
9. Barroso U Jr, Calado AA, Filho MZ. The role of refluxing distal ureteral stumps after nephrectomy. J Pediatr Surg. 2002. 37:653–656.
10. Casale P, Grady RW, Lee RS, Joyner BD, Mitchell ME. Symptomatic refluxing distal ureteral stumps after nephroureterectomy and heminephroureterectomy. What should we do? J Urol. 2005. 173:204–206. discussion 206.