S2032 Obstructive Uropathy in Necrotizing Pancreatitis: A Case Series Revisiting an Unusual Complication

Only 1 patient required the insertion of a ureteral stent for persistent obstruction and delayed excretion on renogram. The location of collections in the abdomen rather than size appears to be more important in causing obstruction. Demographic and clinical characteristics of patients Patient 1 Pati...

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Published inThe American journal of gastroenterology Vol. 118; no. 10S; pp. S1486 - S1487
Main Authors Seid, Amir Sultan, Trikudanathan, Guru
Format Journal Article
LanguageEnglish
Published New York Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins 01.10.2023
Subjects
Alcohol
Creatinine
Endoscopy
Gallstones
Hydronephrosis
Kidneys
Pancreatitis
Patients
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Summary:Only 1 patient required the insertion of a ureteral stent for persistent obstruction and delayed excretion on renogram. The location of collections in the abdomen rather than size appears to be more important in causing obstruction. Demographic and clinical characteristics of patients Patient 1 Patient 2 patient 3 Patient 4 Patient 5 Age at Diagnosis 66 64 38 47 64 Sex Male Female Male Male Male Etiology of Pancreatitis Alcohol Post ERCP Alcohol Gall Stone Gall Stone Primary approach to manage collections Endoscopic + IR Endoscopic + IR Surgical Endoscopic + surgical +IR Endoscopic + IR Time to development of hydronephrosis from index NP 6 months 5 months 6 Months 1 Month* 9 months Collection size 8x9x10 cm 3.5x3.5 cm 6.1x5.8x20 cm 2.8x2.3 cm 1.9x1.6cm Collection Types Single dominant Multiple Multiple Multiple Multiple Baseline Creatinine (mg/dl) 0.6 0.8 0.6 1.08 1.04 Underlying CKD No No No No No Level of Obstruction Distal Ureter Proximal Ureter Proximal Ureter Distal Ureter Proximal Ureter Side of obstruction Right Right Left Left right Development of AKI No No No Yes No Urologic intervention Ureteral Stent None None None None NP:
ISSN:0002-9270
1572-0241
DOI:10.14309/01.ajg.0000957768.29192.b0