Obstructive urosepsis caused by ureterosciatic hernia: A case report

Kazuki Yanagida; Daisuke Watanabe; Takahiro Yoshida; Norikazu Kawae; Akio Mizushima; Tohru Nakagawa

doi:10.1016/j.eucr.2023.102372

Obstructive urosepsis caused by ureterosciatic hernia: A case report

Urol Case Rep. 2023 Mar 1:47:102372. doi: 10.1016/j.eucr.2023.102372. eCollection 2023 Mar.

Authors

Kazuki Yanagida^{1

2}, Daisuke Watanabe^{1

3}, Takahiro Yoshida^{1

2}, Norikazu Kawae^{3

4}, Akio Mizushima³, Tohru Nakagawa²

Affiliations

¹ Department of Urology, Koto Hospital, Koto-ku, Tokyo, Japan.
² Department of Urology, Teikyo University School of Medicine, Itabashi-ku, Tokyo, Japan.
³ Department of Palliative Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
⁴ Department of Radiology, Koto Hospital, Koto-ku, Tokyo, Japan.

Abstract

Ureterosciatic hernia (USH) is a relatively rare cause of ureteral obstruction. We report a case of a patient with obstructive urosepsis caused by USH and treated by ureteral stenting. An 83-year-old woman came to our hospital with symptoms of left lumbar back pain and fever. Enhanced computed tomography showed left hydronephrosis and ureteral protrusion through the greater foramen sciaticum. The patient was diagnosed with USH and underwent transurethral ureteral stenting. Eight months later, the ureteral stent was removed. There has been no recurrence of USH 6 months after removal of the ureteral stent.

Keywords: CT, computed tomography; Greater foramen sciaticum; USH, ureterosciatic hernia; Ureteral stenting; Ureterosciatic hernia; Urosepsis.

Publication types

Case Reports