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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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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 |
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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 |
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