Urosepsis secondary to ureterosciatic hernia corrected with ureteral stent placement: a case report and literature review

Abstract Background Ureterosciatic hernia is a rare type of pelvic floor herniation that occurs through the sciatic foramen. The resulting ureteral obstruction may lead to hydronephrosis and to further complications including urinary tract infection and urosepsis. There have been 30 reported cases o...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Kohei Kakimoto, Mayu Hikone, Ko Nagai, Jun Yamakawa, Kazuhiro Sugiyama, Yuichi Hamabe
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Ureterosciatic hernia Sepsis Urinary tract infection Ureteral catheter replacement Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/2a6cadadf37e46429d07fb52e1dc0e81
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:2a6cadadf37e46429d07fb52e1dc0e81
record_format	dspace
spelling	oai:doaj.org-article:2a6cadadf37e46429d07fb52e1dc0e812021-11-08T10:44:34ZUrosepsis secondary to ureterosciatic hernia corrected with ureteral stent placement: a case report and literature review10.1186/s12245-021-00392-31865-13721865-1380https://doaj.org/article/2a6cadadf37e46429d07fb52e1dc0e812021-11-01T00:00:00Zhttps://doi.org/10.1186/s12245-021-00392-3https://doaj.org/toc/1865-1372https://doaj.org/toc/1865-1380Abstract Background Ureterosciatic hernia is a rare type of pelvic floor herniation that occurs through the sciatic foramen. The resulting ureteral obstruction may lead to hydronephrosis and to further complications including urinary tract infection and urosepsis. There have been 30 reported cases of ureterosciatic hernia. Ureteral stenting and surgical repair have been used as treatment options. Case presentation We report the case of an 86-year-old woman who was transferred to Tokyo Metropolitan Bokutoh Hospital with symptoms of fever and septic shock. Her computed tomography scan revealed left hydronephrosis and deviation of the left ureter into the sciatic foramen; she was therefore diagnosed with a left ureteral sciatic hernia and admitted in our intensive care unit for further treatment with resuscitative fluids, vasopressors, and antibiotics. Following a retrograde insertion ureteral catheter insertion, ureteral incarceration was relieved, and a double-J ureteral stent was placed in situ. Antibiotic treatment was initiated, and the patient’s hemodynamic status gradually improved. Conclusions Although ureterosciatic hernia is a rare disorder, it is associated with serious complications including urinary tract infection with sepsis, which may warrant urgent corrective procedure to relieve the structural obstruction. Treatment may be conservative or surgical, though treatment with ureteral stent placement may be a favorable approach in elderly patients with multiple comorbidities presenting with urosepsis.Kohei KakimotoMayu HikoneKo NagaiJun YamakawaKazuhiro SugiyamaYuichi HamabeBMCarticleUreterosciatic herniaSepsisUrinary tract infectionUreteral catheter replacementMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENInternational Journal of Emergency Medicine, Vol 14, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ureterosciatic hernia Sepsis Urinary tract infection Ureteral catheter replacement Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Ureterosciatic hernia Sepsis Urinary tract infection Ureteral catheter replacement Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Kohei Kakimoto Mayu Hikone Ko Nagai Jun Yamakawa Kazuhiro Sugiyama Yuichi Hamabe Urosepsis secondary to ureterosciatic hernia corrected with ureteral stent placement: a case report and literature review
description	Abstract Background Ureterosciatic hernia is a rare type of pelvic floor herniation that occurs through the sciatic foramen. The resulting ureteral obstruction may lead to hydronephrosis and to further complications including urinary tract infection and urosepsis. There have been 30 reported cases of ureterosciatic hernia. Ureteral stenting and surgical repair have been used as treatment options. Case presentation We report the case of an 86-year-old woman who was transferred to Tokyo Metropolitan Bokutoh Hospital with symptoms of fever and septic shock. Her computed tomography scan revealed left hydronephrosis and deviation of the left ureter into the sciatic foramen; she was therefore diagnosed with a left ureteral sciatic hernia and admitted in our intensive care unit for further treatment with resuscitative fluids, vasopressors, and antibiotics. Following a retrograde insertion ureteral catheter insertion, ureteral incarceration was relieved, and a double-J ureteral stent was placed in situ. Antibiotic treatment was initiated, and the patient’s hemodynamic status gradually improved. Conclusions Although ureterosciatic hernia is a rare disorder, it is associated with serious complications including urinary tract infection with sepsis, which may warrant urgent corrective procedure to relieve the structural obstruction. Treatment may be conservative or surgical, though treatment with ureteral stent placement may be a favorable approach in elderly patients with multiple comorbidities presenting with urosepsis.
format	article
author	Kohei Kakimoto Mayu Hikone Ko Nagai Jun Yamakawa Kazuhiro Sugiyama Yuichi Hamabe
author_facet	Kohei Kakimoto Mayu Hikone Ko Nagai Jun Yamakawa Kazuhiro Sugiyama Yuichi Hamabe
author_sort	Kohei Kakimoto
title	Urosepsis secondary to ureterosciatic hernia corrected with ureteral stent placement: a case report and literature review
title_short	Urosepsis secondary to ureterosciatic hernia corrected with ureteral stent placement: a case report and literature review
title_full	Urosepsis secondary to ureterosciatic hernia corrected with ureteral stent placement: a case report and literature review
title_fullStr	Urosepsis secondary to ureterosciatic hernia corrected with ureteral stent placement: a case report and literature review
title_full_unstemmed	Urosepsis secondary to ureterosciatic hernia corrected with ureteral stent placement: a case report and literature review
title_sort	urosepsis secondary to ureterosciatic hernia corrected with ureteral stent placement: a case report and literature review
publisher	BMC
publishDate	2021
url	https://doaj.org/article/2a6cadadf37e46429d07fb52e1dc0e81
work_keys_str_mv	AT koheikakimoto urosepsissecondarytoureterosciaticherniacorrectedwithureteralstentplacementacasereportandliteraturereview AT mayuhikone urosepsissecondarytoureterosciaticherniacorrectedwithureteralstentplacementacasereportandliteraturereview AT konagai urosepsissecondarytoureterosciaticherniacorrectedwithureteralstentplacementacasereportandliteraturereview AT junyamakawa urosepsissecondarytoureterosciaticherniacorrectedwithureteralstentplacementacasereportandliteraturereview AT kazuhirosugiyama urosepsissecondarytoureterosciaticherniacorrectedwithureteralstentplacementacasereportandliteraturereview AT yuichihamabe urosepsissecondarytoureterosciaticherniacorrectedwithureteralstentplacementacasereportandliteraturereview
_version_	1718442600948563968

Urosepsis secondary to ureterosciatic hernia corrected with ureteral stent placement: a case report and literature review

Ejemplares similares