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 uretera...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-11-01
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| Series: | IJU Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/iju5.12605 |
| _version_ | 1797627708780314624 |
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| author | Jonathan A Seaman Erika Bracamonte Sunchin Kim |
| author_facet | Jonathan A Seaman Erika Bracamonte Sunchin Kim |
| author_sort | Jonathan A Seaman |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-11T10:29:17Z |
| format | Article |
| id | doaj.art-ffd50c6ee0104bb197a94e65ea549f30 |
| institution | Directory Open Access Journal |
| issn | 2577-171X |
| language | English |
| last_indexed | 2024-03-11T10:29:17Z |
| publishDate | 2023-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | IJU Case Reports |
| spelling | doaj.art-ffd50c6ee0104bb197a94e65ea549f302023-11-15T06:01:08ZengWileyIJU Case Reports2577-171X2023-11-016632532810.1002/iju5.12605A unique case of Schistosoma‐related ureteral stricture: Diagnosis and surgical reconstructionJonathan A Seaman0Erika Bracamonte1Sunchin Kim2Department of Urology University of Arizona College of Medicine Tucson Arizona USADepartment of Pathology University of Arizona College of Medicine Tucson Arizona USADepartment of Urology University of Arizona College of Medicine Tucson Arizona USABackground 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.https://doi.org/10.1002/iju5.12605robotic surgical proceduresSchistosomiasisSchistosomiasis haematobiumureteral calculiureteral obstruction |
| spellingShingle | Jonathan A Seaman Erika Bracamonte Sunchin Kim A unique case of Schistosoma‐related ureteral stricture: Diagnosis and surgical reconstruction IJU Case Reports robotic surgical procedures Schistosomiasis Schistosomiasis haematobium ureteral calculi ureteral obstruction |
| 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 | robotic surgical procedures Schistosomiasis Schistosomiasis haematobium ureteral calculi ureteral obstruction |
| url | https://doi.org/10.1002/iju5.12605 |
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