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Ureteral Injury During Colorectal Surgery: Two Case Reports and a Literature Review

Iatrogenic ureteral injury (IUI) is a dreaded complication of abdominopelvic surgery. Although rare, it is associated with severe consequences. This complication most commonly occurs during gynecological procedures but may also occur during colorectal surgeries. We present two cases of IUI in patien...

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Detalles Bibliográficos
Autores principales: Yellinek, Shlomo, Krizzuk, Dimitri, J. Nogueras, Juan, D. Wexner, Steven
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Society of Coloproctology 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6752145/
https://www.ncbi.nlm.nih.gov/pubmed/31559346
http://dx.doi.org/10.23922/jarc.2017-052
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author Yellinek, Shlomo
Krizzuk, Dimitri
J. Nogueras, Juan
D. Wexner, Steven
author_facet Yellinek, Shlomo
Krizzuk, Dimitri
J. Nogueras, Juan
D. Wexner, Steven
author_sort Yellinek, Shlomo
collection PubMed
description Iatrogenic ureteral injury (IUI) is a dreaded complication of abdominopelvic surgery. Although rare, it is associated with severe consequences. This complication most commonly occurs during gynecological procedures but may also occur during colorectal surgeries. We present two cases of IUI in patients in whom the ureteric stents were electively placed. The first case was a 71-year-old male with no significant medical history. The patient underwent an elective laparoscopic sigmoidectomy for complicated diverticulitis. During the procedure, a proximal IUI occurred, and was recognized and repaired. The second case occurred in a 68-year-old male with a history of multiple complicated abdominal surgeries. The patient underwent a second redo low anterior resection for a long preanastomotic stricture. The IUI occurred in the right fibrosed presacral plane, approximately 3 cm proximal to the bladder. The ureter was reimplanted to the bladder during the same procedure. We will also present a literature review of IUI, including the risk factors, intraoperative prevention, and repair options.
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spelling pubmed-67521452019-09-26 Ureteral Injury During Colorectal Surgery: Two Case Reports and a Literature Review Yellinek, Shlomo Krizzuk, Dimitri J. Nogueras, Juan D. Wexner, Steven J Anus Rectum Colon Review Article Iatrogenic ureteral injury (IUI) is a dreaded complication of abdominopelvic surgery. Although rare, it is associated with severe consequences. This complication most commonly occurs during gynecological procedures but may also occur during colorectal surgeries. We present two cases of IUI in patients in whom the ureteric stents were electively placed. The first case was a 71-year-old male with no significant medical history. The patient underwent an elective laparoscopic sigmoidectomy for complicated diverticulitis. During the procedure, a proximal IUI occurred, and was recognized and repaired. The second case occurred in a 68-year-old male with a history of multiple complicated abdominal surgeries. The patient underwent a second redo low anterior resection for a long preanastomotic stricture. The IUI occurred in the right fibrosed presacral plane, approximately 3 cm proximal to the bladder. The ureter was reimplanted to the bladder during the same procedure. We will also present a literature review of IUI, including the risk factors, intraoperative prevention, and repair options. The Japan Society of Coloproctology 2018-07-30 /pmc/articles/PMC6752145/ /pubmed/31559346 http://dx.doi.org/10.23922/jarc.2017-052 Text en Copyright © 2018 by The Japan Society of Coloproctology https://creativecommons.org/licenses/by-nc-nd/4.0/ Journal of the Anus, Rectum and Colon is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Review Article
Yellinek, Shlomo
Krizzuk, Dimitri
J. Nogueras, Juan
D. Wexner, Steven
Ureteral Injury During Colorectal Surgery: Two Case Reports and a Literature Review
title Ureteral Injury During Colorectal Surgery: Two Case Reports and a Literature Review
title_full Ureteral Injury During Colorectal Surgery: Two Case Reports and a Literature Review
title_fullStr Ureteral Injury During Colorectal Surgery: Two Case Reports and a Literature Review
title_full_unstemmed Ureteral Injury During Colorectal Surgery: Two Case Reports and a Literature Review
title_short Ureteral Injury During Colorectal Surgery: Two Case Reports and a Literature Review
title_sort ureteral injury during colorectal surgery: two case reports and a literature review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6752145/
https://www.ncbi.nlm.nih.gov/pubmed/31559346
http://dx.doi.org/10.23922/jarc.2017-052
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