How to treat jatrogenic ureteral injury after posterior spinal surgery? Case report and review of literature

Bibliographic Details
Title: How to treat jatrogenic ureteral injury after posterior spinal surgery? Case report and review of literature
Authors: Petar Kavaric, Aleksandar Magdelinic, Almir Rebronja, Marko Albijanic, Eldin Sabovic, Nenad Radovic, Marko Vukovic
Source: IJU Case Reports, Vol 6, Iss 5, Pp 306-309 (2023)
Publisher Information: Wiley, 2023.
Publication Year: 2023
Collection: LCC:Diseases of the genitourinary system. Urology
Subject Terms: iatrogenic injury, posterior spine surgery, ureter, Diseases of the genitourinary system. Urology, RC870-923
More Details: Introduction Entry into the retroperitoneal space during open posterior spinal surgery introduces the rare possibility of iatrogenic ureteral injury. Case presentation We describe a case of ureteral injury after spinal surgery in a 49‐year‐old female with persistent lumbar pain and high fever 2 weeks after spinal surgery. After admission to the urology department, a computer tomography scan was performed and revealed right‐side hydronephrosis grade III and large retroperitoneal fluid collection. After radiological confirmation of right ureteral injury, a ureteral stent was placed, but 4 weeks later, ureteral stricture was confirmed on antegrade pyelography. Therefore, surgical ureteroplasty was indicated 2 months after initial admission to the urology department. Six weeks later, the stent was removed, and intravenous pyelography revealed a normal ureteral passage. Conclusion There should be a low threshold for ureteral injuries after spinal cord surgery in patients with high fever and elevated blood creatinine levels.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2577-171X
Relation: https://doaj.org/toc/2577-171X
DOI: 10.1002/iju5.12612
Access URL: https://doaj.org/article/d0cd5c129f4c468e8ca2c9b12cf6147e
Accession Number: edsdoj.0cd5c129f4c468e8ca2c9b12cf6147e
Database: Directory of Open Access Journals
More Details
ISSN:2577171X
DOI:10.1002/iju5.12612
Published in:IJU Case Reports
Language:English