Alamri A. Migration of varicocele coil leading to ureteral obstruction and hydronephrosis: A case report. World J Clin Cases 2024; 12(16): 2856-2861 [PMID: 38899306 DOI: 10.12998/wjcc.v12.i16.2856]
Corresponding Author of This Article
Abdulaziz Alamri, FRCSC, MD, Associate Professor, Department of Surgery, College of Medicine, King Khalid University, 1 AL JARJAR Street, Abha, Alfara 61421, Saudi Arabia. aazizamri@gmail.com
Research Domain of This Article
Urology & Nephrology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 6, 2024; 12(16): 2856-2861 Published online Jun 6, 2024. doi: 10.12998/wjcc.v12.i16.2856
Migration of varicocele coil leading to ureteral obstruction and hydronephrosis: A case report
Abdulaziz Alamri
Abdulaziz Alamri, Department of Surgery, College of Medicine, King Khalid University, Abha, Alfaraa 61421, Saudi Arabia
Author contributions: Alamri A performs manuscript writing, data collection, literature research, review and revision.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Abdulaziz Alamri, FRCSC, MD, Associate Professor, Department of Surgery, College of Medicine, King Khalid University, 1 AL JARJAR Street, Abha, Alfara 61421, Saudi Arabia. aazizamri@gmail.com
Received: January 1, 2024 Revised: April 4, 2024 Accepted: April 19, 2024 Published online: June 6, 2024 Processing time: 149 Days and 5.3 Hours
Abstract
BACKGROUND
Varicocele embolization, a minimally invasive treatment for symptomatic varicoceles, carries a rare risk of complications like ureteral obstruction and hydronephrosis. This case report documents such a case to raise awareness of these potential complications and showcase minimally invasive surgical management as a successful solution.
CASE SUMMARY
A 35-year-old male presented with flank pain and hematuria following varicocele embolization. Imaging confirmed left ureteral obstruction and hydronephrosis. Laparoscopic ureterolysis successfully removed the embolization coil and repaired the ureter, resolving the patient's symptoms. Follow-up at six months and two years showed sustained improvement.
CONCLUSION
Minimally invasive surgery offers an effective treatment option for rare complications like ureteral obstruction arising from varicocele embolization.
Core Tip: Varicocele embolization is a minimally invasive procedure that is generally considered safe, but complications can occur, such as ureteral obstruction and hydronephrosis. It is important to be aware of the potential complications of varicocele embolization, even though they are rare. Minimally invasive surgery can be used to successfully treat the complications of varicocele embolization. If a patient develops flank pain and hematuria following varicocele embolization, imaging studies should be performed to rule out ureteral obstruction and hydronephrosis. If the ureteral obstruction is diagnosed, minimally invasive surgery can be performed to remove the obstructing coil and repair the ureter.
