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IATROGENIC URETERAL LESION DIAGNOSED AFTER ONE MONTH


Authors: Jakub Szewczyk 1;  Jan Krhut 1;  Henryk Fikoczek 2;  Ivana Kalusková 2
Authors‘ workplace: Urologické oddělení, Fakultní nemocnice Ostrava 1;  Radiodiagnostický ústav, Fakultní nemocnice Ostrava 2
Published in: Ces Urol 2015; 19(3): 216-219
Category: Case report

Overview

We present a case report of a patient with an iatrogenic lesion of the left ureter diagnosed one month after gynecological surgery. The main symptoms were abdominal distension and abdominal pain. A CT-IVP was not diagnostic. Only a subsequent reterograde urogram was more sensitive and demonstrated a ureteric lesion. It is always advisable to perform the most sensitive diagnostic methods when in doubt.

Key words:
Iatrogenic lesion of the ureter, retrograde urography, CT-IVU, ureteroneocystostomy, ureterohydronephrosis, laparoscopically assisted vaginal hysterectomy.


Sources

1. Summerton DJ, Djakovic N, Kitrey ND, et al. EAU Guidelines on iatrogenic trauma, the 2014 update. Eur Urol 2012; 62 (4): 628–639.

2. Preston JM. Iatrogenic ureteric injury: common medicolegal pitfalls. BJU International 2000; 86: 313–317.

3. Drake MJ, Noble JG. Ureteric Trauma in Gynecologic Surgery. Int Urogynecol J 1998; 9: 108–117.

4. Chocholatý M, Schmidt M, Hanek P, Jarolím L. Etiologie, diagnostika a terapie iatrogenních poranění močovodu při otevřených a laparoskopických operacích. Endoskopie 2009; 18(3): 98–102.

5. Rafique M, Arif HM. Management of iatrogenic ureteric injuries associated with gynecological surgery. International Urology and Nephrology 2002; 34: 31–35.

6. Schraml J, Knespl J. Laparoskopická poranění močovodu. Ces Urol 1998; 5: 33–35.

7. Hwang JH, Lim MC, Joung JY, et al. Urological complications of laparoscopic radical hysterectomy and lymphadenectomy. Int Urogynecol J 2012; 23: 1605–1611.

8. Drake MJ, Noble JG. Ureteric Trauma in Gynecologic Surgery. Int Urogynecol J 1998; 9: 108–117.

9. Peremský Z, Král J, Bočan M, Navrátil P, Broďák M. Iatrogenní poranění močovodu, bříšní katastrofa z pohledu urologa. Urol. praxi 2011; 12(6): 373–375.

10. McAninch JW. Současný pohled na poranění močovodu. Urol List 2005, 3(1): 5–12.

11. Hlaváčová J, Jambura J, Kouba J, et al. Časná chirurgická léčba poranění ureterů. Ces Urol 2011; 15(3): 158–166.

12. Dobrowolski Z, Kusionowicz J, Drewniak T, et al. Renal and ureteric trauma: diagnosis and management in Poland. BJU International 2002; 89: 748–751.

13. Delacroix SE, Winters JC. Urinary Tract Injures: Recognition and Management. Clinics in Colon and Rectal Surgery 2010; 23(2): 104–112.

Labels
Paediatric urologist Nephrology Urology
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