Migration of varicocele coil leading to ureteral obstruction and hydronephrosis: A case report

Figure 1 Plain abdominal X-ray (kidneys, ureters and urinary bladder) showing refilling of the coils bilaterally for previous surgery of varicocele.

Figure 2 Ultrasonography of the left kidney showing hydronephrosis and ultrasonography after surgical repair. A: Ultrasound of the left kidney showing hydronephrosis; B: Ultrasound after surgical repair (end-to-end ureteric anastomosis) showing normal kidney with no residual hydronephrosis.

Figure 3 Computed tomography of the abdomen. A: Axial; B: Coronal views showing the coils and left hydro ureter.

Figure 4 Computed tomography scan axial view showing left hydronephrosis due to obstructed ureter by the varicocele coils.

Figure 5 Intra operative photos showing the coils. A: Intra operative laparoscopic view showing migration and erosion of the coils through gonadal vein wall; B: Another laparoscopic view showing grasping and removal of the coils; C: Double J stent inside the ureter during the end-to-end ureteric anastomosis.