Bilateral ureteral necrosis and obliteration secondary to pancreatic pseudocyst

We report an unusual case of bilateral distal ureteral necrosis and obliteration associated with a pancreatic pseudocyst. After cyst drainage bilateral ureteral obstruction developed, requiring surgical correction. While it is known that a pancreatic pseudocyst can cause extensive damage to contiguous organs, to our knowledge this case represents the first report of ureteral necrosis and obliteration resulting from pancreatic enzyme damage to the ureters.