J Korean Soc Radiol.  2012 Jan;66(1):43-46. 10.3348/jksr.2012.66.1.43.

Empyema of the Ureteral Stump after Nephrectomy Mimicking Pyosalpinx or Pelvic Cystic Tumor: Report of Two Cases

• Jeong HR
• Namkung S
• Lee SH

• KMID: 2208869
• DOI: http://doi.org/10.3348/jksr.2012.66.1.43

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.

MeSH Terms

Empyema
Female
Humans
Nephrectomy
Rare Diseases
Ureter

Reference

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.