Cargando…
A unique case of Schistosoma‐related ureteral stricture: Diagnosis and surgical reconstruction
BACKGROUND: Chronic infection with Schistosoma haematobium can lead to pathology of the upper and lower urinary tracts. While well known as a cause of squamous cell carcinoma of the bladder, relatively little research exists on ureteral involvement. Here, we present a unique case of bilateral ureter...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622224/ https://www.ncbi.nlm.nih.gov/pubmed/37928292 http://dx.doi.org/10.1002/iju5.12605 |
_version_ | 1785130494597267456 |
---|---|
author | Seaman, Jonathan A Bracamonte, Erika Kim, Sunchin |
author_facet | Seaman, Jonathan A Bracamonte, Erika Kim, Sunchin |
author_sort | Seaman, Jonathan A |
collection | PubMed |
description | BACKGROUND: Chronic infection with Schistosoma haematobium can lead to pathology of the upper and lower urinary tracts. While well known as a cause of squamous cell carcinoma of the bladder, relatively little research exists on ureteral involvement. Here, we present a unique case of bilateral ureteral obstruction from schistosomiasis with concomitant ureteral stone disease. CASE PRESENTATION: A 43‐year‐old male Somalian immigrant was diagnosed with a right proximal ureteral stone and bilateral multifocal ureteral narrowing causing obstruction with preserved renal function. He underwent a staged repair with right robotic pyelolithotomy and non‐transecting ureteroureterostomy, followed by left robotic ureteroureterostomy with stricture excision. Pathology revealed Schistosoma ova. CONCLUSION: Ureteral stricture from schistosomiasis represents a rare diagnosis for urologists in non‐endemic countries. Bilateral ureteral narrowing and concomitant ureteral stone burden presented both diagnostic and reconstructive challenges, requiring a staged repair. Minimally invasive reconstruction was achieved using robotic assistance with good functional outcome. |
format | Online Article Text |
id | pubmed-10622224 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-106222242023-11-03 A unique case of Schistosoma‐related ureteral stricture: Diagnosis and surgical reconstruction Seaman, Jonathan A Bracamonte, Erika Kim, Sunchin IJU Case Rep Case Reports BACKGROUND: Chronic infection with Schistosoma haematobium can lead to pathology of the upper and lower urinary tracts. While well known as a cause of squamous cell carcinoma of the bladder, relatively little research exists on ureteral involvement. Here, we present a unique case of bilateral ureteral obstruction from schistosomiasis with concomitant ureteral stone disease. CASE PRESENTATION: A 43‐year‐old male Somalian immigrant was diagnosed with a right proximal ureteral stone and bilateral multifocal ureteral narrowing causing obstruction with preserved renal function. He underwent a staged repair with right robotic pyelolithotomy and non‐transecting ureteroureterostomy, followed by left robotic ureteroureterostomy with stricture excision. Pathology revealed Schistosoma ova. CONCLUSION: Ureteral stricture from schistosomiasis represents a rare diagnosis for urologists in non‐endemic countries. Bilateral ureteral narrowing and concomitant ureteral stone burden presented both diagnostic and reconstructive challenges, requiring a staged repair. Minimally invasive reconstruction was achieved using robotic assistance with good functional outcome. John Wiley and Sons Inc. 2023-10-06 /pmc/articles/PMC10622224/ /pubmed/37928292 http://dx.doi.org/10.1002/iju5.12605 Text en © 2023 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of Japanese Urological Association. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Case Reports Seaman, Jonathan A Bracamonte, Erika Kim, Sunchin A unique case of Schistosoma‐related ureteral stricture: Diagnosis and surgical reconstruction |
title | A unique case of Schistosoma‐related ureteral stricture: Diagnosis and surgical reconstruction |
title_full | A unique case of Schistosoma‐related ureteral stricture: Diagnosis and surgical reconstruction |
title_fullStr | A unique case of Schistosoma‐related ureteral stricture: Diagnosis and surgical reconstruction |
title_full_unstemmed | A unique case of Schistosoma‐related ureteral stricture: Diagnosis and surgical reconstruction |
title_short | A unique case of Schistosoma‐related ureteral stricture: Diagnosis and surgical reconstruction |
title_sort | unique case of schistosoma‐related ureteral stricture: diagnosis and surgical reconstruction |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622224/ https://www.ncbi.nlm.nih.gov/pubmed/37928292 http://dx.doi.org/10.1002/iju5.12605 |
work_keys_str_mv | AT seamanjonathana auniquecaseofschistosomarelatedureteralstricturediagnosisandsurgicalreconstruction AT bracamonteerika auniquecaseofschistosomarelatedureteralstricturediagnosisandsurgicalreconstruction AT kimsunchin auniquecaseofschistosomarelatedureteralstricturediagnosisandsurgicalreconstruction AT seamanjonathana uniquecaseofschistosomarelatedureteralstricturediagnosisandsurgicalreconstruction AT bracamonteerika uniquecaseofschistosomarelatedureteralstricturediagnosisandsurgicalreconstruction AT kimsunchin uniquecaseofschistosomarelatedureteralstricturediagnosisandsurgicalreconstruction |