Bilateral ureteric obstruction following vaginal hysterectomy: oedema of the bladder can be a rare cause

Abstract

Known causes of bilateral ureteric obstruction following vaginal hysterectomy and vaginal wall repair are accidental bilateral ureteric ligation and kinking of the ureters. A case of bilateral ureteral obstruction due to bladder wall oedema is presented. A cause for this extreme oedematous reaction was not found. Post-renal obstruction does not necessarily result in dilatation of the ureters, therefore ultrasound cannot always be used to exclude a post-renal obstruction.