{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T22:31:01Z","timestamp":1773786661039,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"vor","delay-in-days":349,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Urology"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Ureteral strictures are a well\u2010documented pathology in urology, commonly resulting from congenital anomalies, iatrogenic injury, or other acquired conditions such as infection, trauma, or radiation. While ischemic and nonischemic strictures are recognized, bilateral idiopathic ureteral strictures remain rare, particularly when associated with systemic thrombotic microangiopathy. This case report describes a 25\u2010year\u2010old female with a history of IgA deficiency and atypical hemolytic uremic syndrome (aHUS), who developed bilateral ureteral strictures following envenomation by a brown recluse spider. The purpose of this report is to highlight an unusual cause of ureteral stricture formation, discuss its underlying pathophysiology, and evaluate long\u2010term surgical outcomes, including the failure of a Yang\u2013Monti neoureter and the subsequent necessity for left renal autotransplantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The patient initially developed bilateral ureteral ischemia and subsequent stricture formation, requiring percutaneous nephrostomy tubes for urinary drainage. The left ureter exhibited an 8\u20139\u2009cm occlusion, leading to the decision to perform a Yang\u2013Monti neoureter using a jejunal interposition graft. Despite initial surgical success, the patient later presented with left\u2010sided hydronephrosis and recurrent urinary tract infections, revealing complete stricture of the neoureter. After thorough evaluation, she underwent left renal autotransplantation with ureteral reimplantation. Postoperative outcomes were favorable, with stable renal function, although complicated by transient ileus. This case underscores the challenges of managing extensive ureteral stricture disease, particularly when secondary to systemic microangiopathic processes triggered by envenomation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>To our knowledge, this is the first documented case of long\u2010segment ureteral stricture as a sequela of brown recluse spider envenomation. The venom\u2019s prothrombotic and endothelial\u2010damaging effects likely contributed to progressive ischemic injury and fibrosis, leading to bilateral stricture formation. While the Yang\u2013Monti technique provided temporary urinary diversion, its long\u2010term viability was limited, necessitating a definitive solution via renal autotransplantation. This case highlights the need for increased awareness of envenomation\u2010related ischemic complications, particularly in patients presenting with delayed\u2010onset ureteral obstruction. Future research should further explore envenomation\u2010induced microangiopathy and optimal surgical management strategies for complex ureteral stricture disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/criu\/1351432","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T14:18:34Z","timestamp":1765894714000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Renal Autotransplantation After Yang\u2013Monti Neoureter Procedure: Surgical Case Report and Brief Literature Review"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6429-0033","authenticated-orcid":false,"given":"Reece M.","family":"Anderson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2707-6323","authenticated-orcid":false,"given":"Alex","family":"Chang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2542-8882","authenticated-orcid":false,"given":"Wesley","family":"Baas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,16]]},"reference":[{"key":"e_1_2_9_1_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2014.0522"},{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eucr.2022.102245"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(00)00484-2"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-021-02985-6"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.02.046"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-022-01150-0"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2018.04.034"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000000373"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2009.07.021"},{"key":"e_1_2_9_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/wjps-2021-000261"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/0049-3848(95)00206-5"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000003826"},{"key":"e_1_2_9_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.toxicon.2014.03.003"},{"key":"e_1_2_9_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-024-04933-2"},{"key":"e_1_2_9_15_2","first-page":"4055","article-title":"Yang-Monti Principle in Bridging Long Ureteral Defects: Cases Report and a Systemic Review","volume":"14","author":"Bao J. 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