Author/Authors :
Singh, Kuldeep Department of Colon and Rectal Surgery - St. Peter’s University hospital - New Brunswick - New Jersey, United States , Saba, Salim C Department of Colon and Rectal Surgery - St. Peter’s University hospital - New Brunswick - New Jersey, United States , Pekarev, Maxim Department of Surgery - Drexel University College of Medicine and hahnemann University hospital - Philadelphia - Pennsylvania, United States , Zomaya, Martin American University of the Caribbean - School of Medicine, Netherlands Antilles , Patankar, Sanjiv Department of Colon and Rectal Surgery - St. Peter’s University hospital - New Brunswick - New Jersey, United States
Abstract :
We describe two cases of anuria secondary to prophylactic ureteral stenting in two patients
who underwent laparoscopic colon resection. The intra-operative course was uncomplicated
and the stents were removed in the immediate post-operative period. The
anuria was accompanied by acute renal failure as evidenced by a rising serum creatinine.
Retrograde ureterograms were used to demonstrate ureteral patency. Cystoscopy and
restenting within 48 hours resulted in prompt diuresis in both patients, with full recovery
of renal function within one week. We believe that reflex anuria was the causative entity,
and that both neurovascular and ureteral spasm contributed to this phenomenon.
