Boari-Flap reconstrution due to a total ureteral avulsion in a patient with ipslateral ureterolithiasis and contralateral renal nodule

The ureteral avulsion during ureterolithotripsy (URS) occurs due to the sudden movement of the optical device or endoscopic extractor either in its removal or insertion, associated with a probable previous lesion in the ureter wall, causing a vital fragility area. A 52-year-old male patient with, an...

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Detalles Bibliográficos
Autores principales: de Andrade Junior, Gualter Ferreira, Barroso, Francisco Marcos da Silva, Alves, Roger Arthur da Cunha, Marinho, Jordi Gomes, Rodriguez, Juan Eduardo Rios, Mancini, Andre Luiz Campos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Endourology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6997213/
https://www.ncbi.nlm.nih.gov/pubmed/32025494
http://dx.doi.org/10.1016/j.eucr.2020.101118
Descripción
Sumario:The ureteral avulsion during ureterolithotripsy (URS) occurs due to the sudden movement of the optical device or endoscopic extractor either in its removal or insertion, associated with a probable previous lesion in the ureter wall, causing a vital fragility area. A 52-year-old male patient with, an obstructive calculus of 9 mm was found in the left middle ureter, and a heterogeneous hypervascular nodule located in the right kidney, suggesting neoplasia. During procedure with rigid ureteroscopy with ureteroscope removal, due to the pressure of the device and tissue fragility, there was total ureter avulsion.

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