Cargando…

Conservative Management of Postoperative Urinary Leak and Intra-Abdominal Abscess

Ureteral injury is a rare occurrence in medical practice. Most cases encountered stem from blunt trauma or are iatrogenic, occurring during open abdominal or pelvic surgery and laparoscopic procedures. Prompt diagnosis of ureteral injury allows clinicians to avoid complications including ureteral st...

Descripción completa

Detalles Bibliográficos
Autores principales: Herson, Andrew B, Villacreses, Camila A, Rehm, Gina M, Briceno, Sean A, Healey, Kevin D, Brown, Matthew R, Miller, Brooke T, Fountain, Michael W
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10324524/
https://www.ncbi.nlm.nih.gov/pubmed/37425614
http://dx.doi.org/10.7759/cureus.40039
_version_ 1785069167906390016
author Herson, Andrew B
Villacreses, Camila A
Rehm, Gina M
Briceno, Sean A
Healey, Kevin D
Brown, Matthew R
Miller, Brooke T
Fountain, Michael W
author_facet Herson, Andrew B
Villacreses, Camila A
Rehm, Gina M
Briceno, Sean A
Healey, Kevin D
Brown, Matthew R
Miller, Brooke T
Fountain, Michael W
author_sort Herson, Andrew B
collection PubMed
description Ureteral injury is a rare occurrence in medical practice. Most cases encountered stem from blunt trauma or are iatrogenic, occurring during open abdominal or pelvic surgery and laparoscopic procedures. Prompt diagnosis of ureteral injury allows clinicians to avoid complications including ureteral strictures, abscess, renal failure, sepsis, and loss of the ipsilateral kidney. Treatment depends on whether the ureteral injury was discovered intraoperatively or if it was a delayed diagnosis. Several procedures can be used, including ureteroureterostomy, ureteroileal interposition, and nephrectomy. Stenting can also be a viable option as it can reestablish urinary drainage. Herein, we present the case of a 43-year-old male who presented with complaints of progressive abdominal pain that was subsequently diagnosed as a left ureteral injury and how the use of a ureteral stent allowed him to have a full recovery with optimized normal ureteral function.
format Online
Article
Text
id pubmed-10324524
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-103245242023-07-07 Conservative Management of Postoperative Urinary Leak and Intra-Abdominal Abscess Herson, Andrew B Villacreses, Camila A Rehm, Gina M Briceno, Sean A Healey, Kevin D Brown, Matthew R Miller, Brooke T Fountain, Michael W Cureus Obstetrics/Gynecology Ureteral injury is a rare occurrence in medical practice. Most cases encountered stem from blunt trauma or are iatrogenic, occurring during open abdominal or pelvic surgery and laparoscopic procedures. Prompt diagnosis of ureteral injury allows clinicians to avoid complications including ureteral strictures, abscess, renal failure, sepsis, and loss of the ipsilateral kidney. Treatment depends on whether the ureteral injury was discovered intraoperatively or if it was a delayed diagnosis. Several procedures can be used, including ureteroureterostomy, ureteroileal interposition, and nephrectomy. Stenting can also be a viable option as it can reestablish urinary drainage. Herein, we present the case of a 43-year-old male who presented with complaints of progressive abdominal pain that was subsequently diagnosed as a left ureteral injury and how the use of a ureteral stent allowed him to have a full recovery with optimized normal ureteral function. Cureus 2023-06-06 /pmc/articles/PMC10324524/ /pubmed/37425614 http://dx.doi.org/10.7759/cureus.40039 Text en Copyright © 2023, Herson et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Obstetrics/Gynecology
Herson, Andrew B
Villacreses, Camila A
Rehm, Gina M
Briceno, Sean A
Healey, Kevin D
Brown, Matthew R
Miller, Brooke T
Fountain, Michael W
Conservative Management of Postoperative Urinary Leak and Intra-Abdominal Abscess
title Conservative Management of Postoperative Urinary Leak and Intra-Abdominal Abscess
title_full Conservative Management of Postoperative Urinary Leak and Intra-Abdominal Abscess
title_fullStr Conservative Management of Postoperative Urinary Leak and Intra-Abdominal Abscess
title_full_unstemmed Conservative Management of Postoperative Urinary Leak and Intra-Abdominal Abscess
title_short Conservative Management of Postoperative Urinary Leak and Intra-Abdominal Abscess
title_sort conservative management of postoperative urinary leak and intra-abdominal abscess
topic Obstetrics/Gynecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10324524/
https://www.ncbi.nlm.nih.gov/pubmed/37425614
http://dx.doi.org/10.7759/cureus.40039
work_keys_str_mv AT hersonandrewb conservativemanagementofpostoperativeurinaryleakandintraabdominalabscess
AT villacresescamilaa conservativemanagementofpostoperativeurinaryleakandintraabdominalabscess
AT rehmginam conservativemanagementofpostoperativeurinaryleakandintraabdominalabscess
AT bricenoseana conservativemanagementofpostoperativeurinaryleakandintraabdominalabscess
AT healeykevind conservativemanagementofpostoperativeurinaryleakandintraabdominalabscess
AT brownmatthewr conservativemanagementofpostoperativeurinaryleakandintraabdominalabscess
AT millerbrooket conservativemanagementofpostoperativeurinaryleakandintraabdominalabscess
AT fountainmichaelw conservativemanagementofpostoperativeurinaryleakandintraabdominalabscess