Ureteral stump syndrome is a medical condition caused by a refluxing distal ureteral remnant left after nephrectomy. Fungal colonization of the ureteral stump is uncommon and distant site infection is exceptional. We present a unique case of fungal peritonitis in a 13-year-old boy who had a right lower-moiety heminephro-ureterectomy at age three with a ureteral stump that served as reservoir for Candida resulting in the subsequent spontaneous fungal passage to the peritoneum
Arora S, Yadav P, Ansari MS. Diagnosis and management of symptomatic residual ureteral stump after nephrectomy. BMJ Case Rep. 2015;26;2015. pii: bcr2015209441.
Labanaris AP, Zugor V, Smiszek R, Nützel R, Kühn R. Empyema of the ureteral stump. An unusual complication following nephrectomy. Scientific World Journal. 2010; 5;10:380-3.
Alenezi H, Eltiraifi AE, Alomar M. Minimally invasive surgery for the treatment of ureteral stump syndrome. Urol Ann. 2015;7(4):454-8.
Escolino M, Farina A, Turrà F, et al. Evaluation and outcome of the distal ureteral stump after nephro-ureterectomy in children. A comparison between laparoscopy and retroperitoneoscopy. J Pediatr Urol. 2016;12(2):119.e1-8.
Iaquinto M, Esposito C, Escolino M, Farina A, Settimi A, Cigliano B. Symptomatic refluxing distal ureteral stump after retroperitoneoscopicn nephrectomy. APSP J Case Rep. 2014;1;5(1):14.
Lee YS, Hah YS, Kim MJ, et al. Factors associated with complications of the ureteral stump after proximal ureteroureterostomy. J Urol. 2012;188(5):1890-4.
Kauffman CA. Diagnosis and management of fungal urinary tract infection. Infect Dis Clin North Am. 2014;28(1):61-74.
Rebolledo M, Sarria JC. Intra-abdominal fungal infections. Curr Opin Infect Dis. 2013;26(5):441-6.
Androulakakis PA, Stephanidis A, Antoniou A, et al. Outcome of the distal ureteric stump after (hemi)nephrectomy and subtotal ureterectomy for reflux or obstruction. BJU Int. 2001;88(6):586-9.
Bullock KN, Deane AM, Ashken MH. Endoscopic Teflon injection for a refluxing ureteric stump after simple nephrectomy. Br Med J (Clin Res Ed). 1985;290:1109.