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Ureteral Injury

Ureter Injury


Presentation

  • If infection is present, graft removal appears the standard of care and was successful in the present case.[ncbi.nlm.nih.gov]
  • INTERVENTION(S): Initial clinical presentation, context, and imaging results were consistent with the diagnosis of mild OHSS.[ncbi.nlm.nih.gov]
  • A review of the literature and management scheme for ureteral complications in the presence of prosthetic vascular grafts is presented in light of current endourologic materials and techniques.[ncbi.nlm.nih.gov]
  • The patient presented with one episode of gross hematuria after surgery. He was treated with ureteral stent drainage and did well with no long-term sequelae.[ncbi.nlm.nih.gov]
  • Abstract Congenital renal malformations are the most common congenital malformations in humans, the most common being horseshoe kidney with joined lower poles present in up to 0.25% of general population.[ncbi.nlm.nih.gov]
Constitutional Symptom
  • Patients may present with symptoms ranging from systemic constitutional symptoms to more localized manifestations; timing of presentation may occur as early as 4 days and as late as 6 months post-procedure.[scholars.northwestern.edu]
Left Lower Quadrant Pain
  • Postoperatively, she suffered from progressive left lower quadrant pain, with drainage of yellowish fluid from the subumbilical puncture wound 5 days after the operation. Significant urinary ascites was present.[ncbi.nlm.nih.gov]
Acute Abdomen
  • Three patients had immediate operation because of an acute abdomen and 3 patients had delayed operation. The left ureter was the most common site of ureteral injury (5/6). The postoperative course was uneventful for all cases.[ncbi.nlm.nih.gov]
Ear Deformity
  • The value of early diagnosis of asymptomatic renal malformation is uncertain, except when other abnormalities might point to them and they can affect the clinical management strategy (severe ear deformity with facial malformation, gynecological abnormalities[ncbi.nlm.nih.gov]
Hip Dislocation
  • In this paper we reported the case of a five-year-old girl who had ureteral injury due to Kirschner wire application for hip dislocation.[ncbi.nlm.nih.gov]
Flank Pain
  • RESULTS: On postoperative day 14 she developed left flank pain. Computed tomography scan of the abdomen and pelvis demonstrated a left perinephric fluid collection.[ncbi.nlm.nih.gov]
  • A 67-year-old man presented with left flank pain after blunt abdominal trauma sustained in a bicycle accident. Only two hours later he developed haematuria and pain in the left inguinal area.[ncbi.nlm.nih.gov]
  • Such injuries should be considered when there is delayed abdominal or flank pain, especially in children.[ncbi.nlm.nih.gov]
  • RESULTS: Patients presented with fever, hematuria, flank pain, or peritonitis between 3 and 33 days postoperatively. The mechanism of ureteral injuries was electrocoagulation in seven women, laser ablation in one, and stapler ligation in four.[ncbi.nlm.nih.gov]
  • Classic clinical symptoms and signs may also be absent but patients may present with abdominal/flank pain, renal failure and/or urine leaking from the vagina 5. The diagnosis is often based on a high index of clinical suspicion.[radiopaedia.org]
Ureteral Disorder
  • Ureteral Disorders Your kidneys make urine by filtering wastes and extra water from your blood. The urine travels from the kidneys to the bladder in two thin tubes called ureters. The ureters are about 8 to 10 inches long.[icdlist.com]

Workup

Hyponatremia
  • Hyponatremia in association with ureteral injury has not been described.[ncbi.nlm.nih.gov]

Treatment

  • The first step included minimally invasive recovery of the urine flow and treatment of infection.[ncbi.nlm.nih.gov]
  • In the last 5 years, endoscopic manipulation of the ureter for the treatment of stones and stricture has become commonplace. Perforation of the ureter occurs in as many as 20 per cent of cases.[ncbi.nlm.nih.gov]
  • The diagnosis was delayed and treatment was complicated by infection. To address the patient's problem initially and then to consolidate our impressions, a literature review was undertaken.[ncbi.nlm.nih.gov]
  • OBJECTIVE: To describe clinical presentation, etiology, and treatment of ureteral injuries recognized late in women who had gynecologic laparoscopies.[ncbi.nlm.nih.gov]
  • Further evaluation is required when ureteral injury is suspected, and surgical repair is the major treatment for ureteral injury.[ncbi.nlm.nih.gov]

Prognosis

  • The present study investigated several aspects, including surgical indications, uterine size, pelvic adhesion, operative procedures, symptoms, diagnostic time and methods, injury site and type, subsequent treatment, and prognosis.[ncbi.nlm.nih.gov]
  • Features include 5 : intra-abdominal fluid collections without other cause shown contrast extravasation from renal hilum/PUJ (usually medially) without associated renal injury Treatment and prognosis Immediate diagnosis and appropriate corrective surgical[radiopaedia.org]
  • […] ureter, or similar injury Removing the entire kidney ( nephrectomy ), draining the space around the kidney, or stopping the bleeding via arterial catheterization (angioembolization) Placing a stent Removing blockage or relieving obstruction Outlook (Prognosis[pennstatehershey.adam.com]
  • Prognosis If identified immediately, patients have an excellent prognosis as a urologic surgeon can immediately repair the ureter. Early diagnosis is considered the single most important prognostic factor.[ncbi.nlm.nih.gov]
  • Prognosis depends on the stage of the tumor (see staging of TTCs of the ureter ) and histological grade (see grading of TCCs ) has little influence 3 . Metastases are most frequently to liver, bone, and lung 4 . Promoted articles (advertising)[radiopaedia.org]

Etiology

  • OBJECTIVE: To describe clinical presentation, etiology, and treatment of ureteral injuries recognized late in women who had gynecologic laparoscopies.[ncbi.nlm.nih.gov]
  • One of the more rare etiologies is a urinoma resulting from a ureteral injury. Such an injury is one of the most serious complications of abdominal, mainly gynecological, surgery.[ncbi.nlm.nih.gov]
  • The postulated etiology includes chemical irritation of the ureter and subsequent stenosis caused either by direct injection into the ureter or by spread of the agent from the injection site.[scholars.northwestern.edu]
  • There is a wide-range of injury: injury to the mucosa of the ureter post lithotripsy perforation and false passage partial or complete ureteric transection complete ureteric avulsion loss of ureteric segment ligation dissection Etiology iatrogenic rate[radiopaedia.org]
  • Changing incidence and etiology of iatrogenic ureteral injuries. J. Urol. 152, 2240–2246 (1994). 15. Leonard, F. et al.[nature.com]

Epidemiology

  • The pathophysiology, epidemiology, diagnosis, and treatment of blunt ureteral injury are also discussed.[ncbi.nlm.nih.gov]
  • Treatment [ edit ] Treatment methods include surgery , [1] [7] chemotherapy , [1] radiation therapy [1] and medication. [1] Epidemiology [ edit ] Between 1988 and 2001 in the United States, cancer surveillance reports to SEER included 1,333 cases of ureteral[en.wikipedia.org]
  • Epidemiology of transitional cell carcinomas of the renal pelvis are similar to those of the rest of the urinary tract: please refer to TCCs of urinary tract for further details.[radiopaedia.org]
  • […] laceration; less than 50% transection Grade III – laceration; 50% or greater transection Grade IV – laceration; complete transection with less than 2 cm of devascularization Grade V – laceration; avulsion with greater than 2 cm of devascularization Epidemiology[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Pathophysiology

  • Herein is presented this unusual scenario of ureteral trauma in addition to the pathophysiology of this injury. METHODS: A 12-year-old boy sustained a rupture of the right ureter 6 cm below the ureteropelvic junction after a car accident.[ncbi.nlm.nih.gov]
  • The pathophysiology, epidemiology, diagnosis, and treatment of blunt ureteral injury are also discussed.[ncbi.nlm.nih.gov]
  • Pathophysiology A basic understanding of the anatomy of the ureters is essential to further discuss the pathophysiology of ureteral injury.[ncbi.nlm.nih.gov]

Prevention

  • The advantage of laparoscopically radical hysterectomy is the prevention of the identification and dissecting of the ureter from a vaginal approach, the main problem in the Schauta technique.[ncbi.nlm.nih.gov]
  • We investigated preoperative ureteral catheter (UC) placement as a way to prevent ureteral injury in laparoscopic hysterectomy.[ncbi.nlm.nih.gov]
  • Injury occurred despite utilizing the hydrodissection technique destined to create a bed of water beneath the peritoneum to prevent laser beam penetration to adjacent normal tissue.[ncbi.nlm.nih.gov]
  • Factors contributing to these injuries and ways of recognizing and preventing complications are discussed.[ncbi.nlm.nih.gov]
  • It is critical to recognize and repair these injuries intraoperatively to decrease morbidity and prevent further complications, such as ureteral stricture, fistula formation, or loss of renal function.[ncbi.nlm.nih.gov]

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