Ureteral injury after posterior lumbar discectomy with interbody screw fixation
| Autor: | Bhalaguru Iyyan, Padmaraj Hegde, Giridhar Venkatesh, Sunil Bhaskara Pillai |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Bone Screws Iatrogenic Disease Lumbar vertebrae urologic and male genital diseases Article Ureter Lumbar Postoperative Complications Medicine Humans Diskectomy Bone Transplantation Lumbar Vertebrae business.industry Laminectomy General Medicine medicine.disease Urinoma female genital diseases and pregnancy complications Surgery medicine.anatomical_structure surgical procedures operative Spinal Fusion Spinal fusion Vomiting Female Stents Radiology medicine.symptom business |
| Zdroj: | BMJ case reports. 2013 |
| ISSN: | 1757-790X |
| Popis: | We report a case of iatrogenic ureteral injury secondary to L5 laminectomy and microdiscectomy with L5–S1 bone graft with posterior lumbar interbodyfusion using presacral cancellous screw fixation, managed by initial ureteral stent placement and subsequent Boari bladder flap repair. A 33-year-old woman underwent L5 laminectomy and microdiscectomy with L5–S1 bone graft with posterior lumbar interbody fusion using presacral cancellous screw fixation. On postoperative day 10, she developed lower abdominal pain, vomiting and fever. Ultrasonogram and contrast-enhanced CT demonstrated a large pelvic urinoma secondary to a right lower ureteric injury. This was managed initially by ureteral stent placement and subsequent Boari bladder flap repair. Ureteral injury following spinal surgery is a rare surgical complication with significant morbidity and mortality. A high index of suspicion is essential for early appropriate management and renal salvage. |
| Databáze: | OpenAIRE |
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