Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2017

Open Access 01-12-2017 | Case report

Urolithiasis secondary to primary obstructive megaureter in an adult: a case report

Authors: Somuah Tenkorang, Jean-Paul Omana, Soufiane Mellas, Fadl Mohammed Tazi, Jalal Eddine El Ammari, Abdelhak Khallouk, Mohammed Jamal El Fassi, Moulay Hassan Farih

Published in: Journal of Medical Case Reports | Issue 1/2017

Login to get access

Abstract

Background

Primary obstructive megaureter is relatively uncommon in adults. This condition usually regresses spontaneously or is treated during infancy. It can remain asymptomatic for decades until adulthood when symptoms may manifest in the event of complications or during a routine radiologic imaging. Primary obstructive megaureter has been reported to favor stone formation in the upper urinary tract.

Case presentation

We present the case of a 35-year-old Moroccan man who had a 10-year history of intermittent left flank pain and hematuria. A computed tomography urogram revealed a left megaureter with giant ureteral and renal calculi.

Conclusions

Primary obstructive megaureter should be a differential diagnosis in an adult with hydroureteronephrosis associated with urolithiasis especially when there is kidney impairment. Through this case report we will discuss the diagnosis and management of primary obstructive megaureter associated with urolithiasis in adults.
Literature
1.
go back to reference Farrugia M-K, Hitchcock R, Radford A, Burki T, Robb A, Murphy F. British Association of Paediatric Urologists consensus statement on the management of the primary obstructive megaureter. J Pediatr Urol. 2014;10(4):787.CrossRef Farrugia M-K, Hitchcock R, Radford A, Burki T, Robb A, Murphy F. British Association of Paediatric Urologists consensus statement on the management of the primary obstructive megaureter. J Pediatr Urol. 2014;10(4):787.CrossRef
2.
go back to reference Mungnirandr A, Zeeh U. Results of surgical repair of primary obstructive megaureter. J Med Assoc Thai. 2006;89(3):329–33.PubMed Mungnirandr A, Zeeh U. Results of surgical repair of primary obstructive megaureter. J Med Assoc Thai. 2006;89(3):329–33.PubMed
4.
go back to reference Al-Marhoon MS, Venkiteswaran KP, Shareef OW. Urolithiasis in an adult with primary obstructive megaureter: a case report. Oman Med J. 2013;28(5):357–9.CrossRefPubMedPubMedCentral Al-Marhoon MS, Venkiteswaran KP, Shareef OW. Urolithiasis in an adult with primary obstructive megaureter: a case report. Oman Med J. 2013;28(5):357–9.CrossRefPubMedPubMedCentral
5.
go back to reference Atala A, Keating MA, et al. Vesicoureteral reflux megaureter and ureteric reimplantation. In: Walsh PC, Retik AB, Vaughan Jr ED, editors. Campbell’s Urology, vol. 2. 6th ed. Philadelphia: WB Saunders; 1992. p. 1708–33. Atala A, Keating MA, et al. Vesicoureteral reflux megaureter and ureteric reimplantation. In: Walsh PC, Retik AB, Vaughan Jr ED, editors. Campbell’s Urology, vol. 2. 6th ed. Philadelphia: WB Saunders; 1992. p. 1708–33.
6.
go back to reference Kelalis PP, King LR, Belman AB, Megaureter, Kelalis PP, King LR. Clinical paediatric urology, vol. 1. Philadelphia: WB Saunders; 1976. p. 266–80. Kelalis PP, King LR, Belman AB, Megaureter, Kelalis PP, King LR. Clinical paediatric urology, vol. 1. Philadelphia: WB Saunders; 1976. p. 266–80.
7.
go back to reference Hemal AK, Ansari MS, Doddamani D, Gupta NP. Symptomatic and complicated adult and adolescent primary obstructive megaureter – indications for surgery: analysis, outcome, and follow-up. Urology. 2003;61(4):703–7. discussion 707.CrossRefPubMed Hemal AK, Ansari MS, Doddamani D, Gupta NP. Symptomatic and complicated adult and adolescent primary obstructive megaureter – indications for surgery: analysis, outcome, and follow-up. Urology. 2003;61(4):703–7. discussion 707.CrossRefPubMed
8.
go back to reference Delakas D, Daskalopoulos G, Karyotis I, Metaxari M, Cranidis A. Giant ureteral stone in association with primary megaureter presenting as an acute abdomen. Eur J Radiol. 2002;41(2):170–2.CrossRefPubMed Delakas D, Daskalopoulos G, Karyotis I, Metaxari M, Cranidis A. Giant ureteral stone in association with primary megaureter presenting as an acute abdomen. Eur J Radiol. 2002;41(2):170–2.CrossRefPubMed
9.
go back to reference Dorairajan LN, Hemal AK, Gupta NP, Wadhwa SN. Primary obstructive megaureter in adults: need for an aggressive management strategy. Int Urol Nephrol. 1999;31(5):633–41.CrossRefPubMed Dorairajan LN, Hemal AK, Gupta NP, Wadhwa SN. Primary obstructive megaureter in adults: need for an aggressive management strategy. Int Urol Nephrol. 1999;31(5):633–41.CrossRefPubMed
10.
11.
go back to reference Weiss RM, Lytton B. Vesicoureteral reflux and distal ureteral obstruction. J Urol. 1974;111:245–9.CrossRefPubMed Weiss RM, Lytton B. Vesicoureteral reflux and distal ureteral obstruction. J Urol. 1974;111:245–9.CrossRefPubMed
12.
go back to reference Khoury A, Bagli D. Reflux and megaureter. In: Wein AJ, editor. Campbell-Walsh Urology. 9th ed. Philadelphia: WB Saunders; 2007. Khoury A, Bagli D. Reflux and megaureter. In: Wein AJ, editor. Campbell-Walsh Urology. 9th ed. Philadelphia: WB Saunders; 2007.
13.
14.
go back to reference Rabinowitz R, Barkin M, Schillinger JF, Jeffs RD. Surgical treatment of the massively dilated primary megaureter in children. Br J Urol. 1979;51(1):19–23.CrossRefPubMed Rabinowitz R, Barkin M, Schillinger JF, Jeffs RD. Surgical treatment of the massively dilated primary megaureter in children. Br J Urol. 1979;51(1):19–23.CrossRefPubMed
15.
go back to reference Babu R. ‘Mini reimplantation’ for the management of primary obstructed megaureter. J Pediatr Urol. 2016;103(2):e1–4. Babu R. ‘Mini reimplantation’ for the management of primary obstructed megaureter. J Pediatr Urol. 2016;103(2):e1–4.
Metadata
Title
Urolithiasis secondary to primary obstructive megaureter in an adult: a case report
Authors
Somuah Tenkorang
Jean-Paul Omana
Soufiane Mellas
Fadl Mohammed Tazi
Jalal Eddine El Ammari
Abdelhak Khallouk
Mohammed Jamal El Fassi
Moulay Hassan Farih
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2017
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-017-1342-z

Other articles of this Issue 1/2017

Journal of Medical Case Reports 1/2017 Go to the issue