Obstructive urosepsis secondary to ureteric herniation into the sciatic foramen. (27th September 2018)

• Record Type: Journal Article
• Authors: Fadel, Michael G; Louis, Chandran; Tay, Andrea; Bolgeri, Marco
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-09-27
• Subjects: urinary and genital tract disorders -- urology -- renal intervention -- radiology; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2018-225523
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 65-year-old female patient presented with a 2-day history of worsening right-sided abdominal pain and clinical signs of sepsis, on the background of a recent admission for pancolitis. Imaging revealed right ureteric herniation through the sciatic foramen with subsequent hydroureteronephrosis and radiological signs of severe pyelonephritis. The patient underwent emergency decompression with a percutaneous nephrostomy, followed by insertion of an antegrade stent to correct the ureteric hernia once the sepsis was appropriately treated. We describe the presentation and management of this unusual case of herniation of the right ureter into the sciatic foramen.