Presentation
If infection is present, graft removal appears the standard of care and was successful in the present case. [ncbi.nlm.nih.gov]
Entire Body System
- Fever
When unrecognized, patients experience fever, abdominal pain, signs of peritonitis, and leukocytosis usually 48 to 72 hours after the surgical procedure. [ncbi.nlm.nih.gov]
- Flank Mass
Delayed diagnosis can present as persistent flank or abdominal pain, flank mass, prolonged ileus, urinary tract infection, or hydronephrosis and elevated creatinine and BUN. [ncbi.nlm.nih.gov]
- Turkish
A multicenter-based critical analysis of laser settings during intrarenal laser lithotripsy by the Turkish academy of urology prospective study group (ACUP study). [pubmed.ncbi.nlm.nih.gov]
Gastrointestinal
- Left Flank Pain
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]
Two days after surgery, the patient developed left flank pain with high-grade fever. Clinical examination revealed left flank tenderness. [urologyannals.com]
- Suprapubic Pain
Clinicians should perform urinary drainage in the presence of complications such as enlarging urinoma, fever, increasing pain, ileus, fistula or infection. [auanet.org]
- 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]
Urogenital
- Flank Pain
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]
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
Outline the workup of a patient with ureteral injury Summarize the treatment options for ureteral injury. [ncbi.nlm.nih.gov]
Sections Ureteral Injury During Gynecologic Surgery Overview Practice Essentials History of the Procedure Problem Epidemiology Etiology Pathophysiology Presentation Indications Relevant Anatomy Contraindications Show All Workup Laboratory Studies Imaging [emedicine.medscape.com]
Figure 20b Conclusion CT urography has become widely accepted as the new first-line imaging modality in the workup of hematuria in adult patients and in the initial staging and surveillance of UCC. [pubs.rsna.org]
Treatment
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]
Treatment helps to prevent complications of ureteral injuries. If complications occur despite efforts to prevent them, they must be treated. NOTE: This is the Consumer Version. [msdmanuals.com]
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]
Etiology
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]
OBJECTIVE: To describe clinical presentation, etiology, and treatment of ureteral injuries recognized late in women who had gynecologic laparoscopies. [ncbi.nlm.nih.gov]
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]
Abstract Permissions Open Case Report Robotic-assisted reconstruction of a ureteral herniation into the psoas major fascia: A unique obstructive etiology and a surgical approach to management Wiggins, Adam; Moynihan, Matthew; Canes, David Urology Annals [journals.lww.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 Frequency The frequency of ureteral injury following gynecologic surgery historically has been reported at approximately 1%. [emedicine.medscape.com]
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]
Pathophysiology
The pathophysiology, epidemiology, diagnosis, and treatment of blunt ureteral injury are also discussed. [ncbi.nlm.nih.gov]
The pathophysiology of ureteral injury depends on many factors, including the type of injury and when the injury is identified. [emedicine.medscape.com]
Prevention
Treatment helps to prevent complications of ureteral injuries. If complications occur despite efforts to prevent them, they must be treated. NOTE: This is the Consumer Version. [msdmanuals.com]
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]
The benefit of preventive ureteral catheterization in complex laparoscopic gynaecologic procedures remains controversial, but most authors support preventive catheterization [ 23, 24 ]. [alliedacademies.org]