Presentation
Bilaterally increased flank pain and sudden serum creatinine rise to 8 mg/dl. In addition, the patient had symptoms of dyspnea.
Patient Data
bilateral moderate hydronephrosis and hydroureter
significantly enlarged uterus due to myomas (leiomyomatosis uteri) extending upward into the abdominal cavity
pedunculated myoma originated from the uterine fundus
markedly enlargement of the uterine cervix because of malignant proliferation with parametrial invasion accompanied by multiple lymphadenopathies along with common and internal iliac chains on both sides
mild and minimal effusion along with the right and left pleural spaces respectively
Two 8 French pigtail catheters were inserted by using the Seldinger technique under CT guidance; one was placed into each collecting system, both draining clear urine after insertion.
Case Discussion
In this case, bilateral hydroureteronephrosis was likely caused by tumoral invasion of the uterine cervix carcinoma to the distal of ureters. The patient tolerated the procedure well, and in the days following, the acute drop in estimated glomerular filtration rate (eGFR) reversed. Additionally, serum creatinine levels returned to 1.8 mg/dl.
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